Individual provider Active NPI

Tommy South, LCSW

  • Clinical Social Worker
  • Erwin, TN
National Provider Identifier
1093674889
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10161 Issued in TN
Practice address
218 N Main Ave
Erwin, TN 37650-1234
Phone
(423) 741-8263
NPI assigned
Jan 19, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10161 TN Primary

Addresses

Primary practice location

218 N Main Ave
Erwin, TN 37650-1234

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205
Phone (423) 467-3600

Other practice location 1

800 Hiram Clark Rd
Elizabethton, TN 37643-1910
Phone (423) 741-8263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260225004289 TN Practitioner - Clinical Social Worker 1456832674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frontier HealthGroup PAC ID 2860302320, 70 clinicians

Practice addresses (Care Compare)

218 N Main Ave
Erwin, TN 37650-1234
Phone (423) 467-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10161TNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Frontier Health CurrentSince Jan 12, 2026 Accepting new patients
Frontier Health CurrentSince Jan 12, 2026 Accepting new patients
Forest Path Therapy Group LLC Current Accepting new patients

Locations

218 N Main Ave
Erwin, TN 37650
Phone (423) 741-8263

1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1093674889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 SPRATLIN PARK DR",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376156205",
            "telephone_number": "423-467-3600",
            "fax_number": "423-467-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501234",
            "telephone_number": "423-741-8263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Hiram Clark Rd",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376431910",
            "country_code": "US",
            "telephone_number": "423-741-8263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "TOMMY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "10161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

Verify at the official NPI Registry.