Advance Care Medical PCP Tennessee

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ADVANCE CARE MEDICAL PCP TENNESSEE

Doing business as

Advance Care Medical Clarksville TN

Practice address

1469 Tiny Town Rd
Clarksville, TN 37042-7202

Phone

(516) 801-1552

NPI assigned

Jul 13, 2021

Last updated

May 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Millar

Title

Senior Advisor

Phone

(917) 673-6321

Specialties & licenses 1

Addresses

Other names 1

• Advance Care Medical Clarksville TN Doing business as

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1164094819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SCHOOL ST STE 303",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422548",
            "telephone_number": "516-801-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 TINY TOWN RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427202",
            "telephone_number": "516-801-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARE MEDICAL PCP TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "MILLAR",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "SENIOR ADVISOR",
        "authorized_official_telephone_number": "917-673-6321"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Care Medical Clarksville TN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Lee Adcock, COTA/L
• Julie M Adcock, BCBA, LBA
• Addiction & Mental Health Services, LLC
• Megan Adkins
• Brian A Adrian, M.D.
• Advance Care Medical Tennessee, Inc. (Advance Care Medical Clarksville TN)
• Advanced Behavior Consultants
• Advanced Diagnostic Imaging PC (The Bone and Joint Group)
• Advanced Diagnostic Imaging, PC (Neuhaus Foot & Ankle)
• Advanced Diagnostic Imaging, PC (The Bone and Joint Group)

• Primary Care Clinic/Center in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.