Organization Active NPI

East Clark Medical PC

  • Family Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1144469263
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EAST CLARK MEDICAL PC
Practice address
818 E Clark Blvd
Murfreesboro, TN 37130-2324
Phone
(615) 895-2800
Fax
(615) 895-2860
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Authorized official

Name
Carla Davis
Title
Billing & Insurance MNGR
Phone
(615) 895-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

818 E Clark Blvd
Murfreesboro, TN 37130-2324

Mailing address

818 E Clark Blvd
Murfreesboro, TN 37130-2324
Phone (615) 895-2800

Other names 1

  • Total Family Physicians Center 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": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1144469263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 E CLARK BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302324",
            "telephone_number": "615-895-2800",
            "fax_number": "615-895-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 E CLARK BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302324",
            "telephone_number": "615-895-2800",
            "fax_number": "615-895-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CLARK MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "BILLING & INSURANCE MNGR",
        "authorized_official_telephone_number": "615-895-2800"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Family Physicians Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.