Organization Active NPI

Samantha E. McLerran, M. D. PLLC

  • Family Medicine Physician
  • Livingston, TN
National Provider Identifier
1124224670
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38505 Issued in TN
Legal business name
SAMANTHA E. MCLERRAN, M. D. PLLC
Doing business as
Samantha E. McLerran, M.D.
Practice address
500 W Main St
Livingston, TN 38570-1718
Phone
(931) 823-5681
Fax
(931) 823-8203
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Dr. Samantha Easterly McLerran, M.D.NPI 1679537419
Title
Owner
Phone
(931) 823-5681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 38505 TN Primary

Addresses

Primary practice location

500 W Main St
Livingston, TN 38570-1718

Mailing address

PO Box 609
Livingston, TN 38570-0609
Phone (931) 823-5681

Other identifiers 1

IdentifierTypeStateIssuer
3725755MedicaidTN

Other names 1

  • Samantha E. McLerran, M.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1124224670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385700609",
            "telephone_number": "931-823-5681",
            "fax_number": "931-823-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "385701718",
            "telephone_number": "931-823-5681",
            "fax_number": "931-823-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA E. MCLERRAN, M. D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "MCLERRAN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "EASTERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-823-5681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "38505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3725755",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samantha E. McLerran, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.