Clifford Gambrell

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9485 Issued in TN

Practice address

406 N Spring St
McMinnville, TN 37110-2134

Phone

(931) 507-1212

NPI assigned

May 29, 2015

Sex

Male

Sole proprietor

Yes

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.

• Generations Health Association, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morrison, TN
  • NPI 1245212380

  TN

  Medicare reassignment Care Compare group NPD
• Generations Health Association, Inc.

  • Skilled Nursing Facility
  • Spencer, TN
  • NPI 1962500231
  Care Compare group

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Generations Health Association, Inc 27 clinicians

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2015.

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1154700656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N SPRING ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N SPRING ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102134",
            "telephone_number": "931-507-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBRELL",
        "first_name": "CLIFFORD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Floyd
• Linda A Foster, M.D.
• Amy Cheryl Fox, OTA L
• Friendship Home Health Inc.
• Buffy Jean Gaither
• Tiffany Gannon, F.N.P.
• Belinda Garrison
• Theresa Garrison, OTR/L
• Genesis Dental, PLLC
• Genoa Healthcare LLC

• All providers in McMinnville, TN
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.