NPIMap

Organization Active NPI

Dogwood Clinic Inc

  • Nurse Practitioner
  • Dyersburg, TN
National Provider Identifier
1164586186
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
DOGWOOD CLINIC INC
Practice address
1385 Flowering Dogwood LN
Suite D
Dyersburg, TN 38024-6409
Phone
(731) 286-6209
Fax
(731) 285-3600
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Jason C Scott
Title
Owner Director
Phone
(731) 286-6209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1385 Flowering Dogwood LN
Suite D
Dyersburg, TN 38024-6409

Mailing address

1385 Flowering Dogwood LN
Suite D
Dyersburg, TN 38024-6409
Phone (731) 286-6209

National Provider Directory

National Provider Directory

Locations

1385 Flowering Dogwood Ln
Ste D
Dyersburg, TN 38024
Phone (731) 286-6209

Practitioners & affiliated clinicians

Practitioners 5

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1164586186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 FLOWERING DOGWOOD LN",
            "address_2": "SUITE D",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380246409",
            "telephone_number": "731-286-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 FLOWERING DOGWOOD LN",
            "address_2": "SUITE D",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380246409",
            "telephone_number": "731-286-6209",
            "fax_number": "731-285-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "731-286-6209"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.