Active NPI
Donald W Huffman, MD
- Family Medicine Physician
- Clarksville, TN
National Provider Identifier
1104817824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27772
- Practice address
- 490 Dunlop LN
Clarksville, TN 37040-5007 - Phone
- (931) 245-8600
- Fax
- (931) 245-8660
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27772 | TN | Primary |
Addresses
Primary practice location
490 Dunlop LN
Clarksville, TN 37040-5007
Mailing address
801 Shady Bluff TRL
Clarksville, TN 37043-5928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q004444 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1104817824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 SHADY BLUFF TRL",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 DUNLOP LN",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405007",
"telephone_number": "931-245-8600",
"fax_number": "931-245-8660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFMAN",
"first_name": "DONALD",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "27772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q004444",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.