Samuel Clay Clemmons, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TN MD25854 Issued in TN

Practice address

304 Haddon CT
Franklin, TN 37067-6242

Phone

(615) 771-0114

Fax

(615) 778-0209

NPI assigned

Nov 30, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9865/brand/1/csg/21/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Emergency Services of Kentucky, PLLC

  • Emergency Medicine Physician
  • Princeton, KY
  • NPI 1285909671

  Family Medicine

  NPD Authorized official
• App of Tennessee HM, PLLC

  • Hospitalist Physician
  • Shelbyville, TN
  • NPI 1396160768
  NPD (past)
• Centennial Heart LLC

  • Specialist
  • Nashville, TN
  • NPI 1245393057
  NPD (past)
• Cumberland River Hospital Inc

  dba Cumberland River Physician Associates

  • Family Medicine Physician
  • Celina, TN
  • NPI 1558676445
  NPD (past)
• Trinity Hospital LLC

  dba Trinity Hospital

  • Critical Access Hospital
  • Erin, TN
  • NPI 1720036841
  NPD (past)
• App of Alabama Ed PLLC

  • Emergency Medicine Physician
  • Russellville, AL
  • NPI 1659646040
  NPD (past)
• Elite Emergency Hot Springs PLLC

  • Emergency Medicine Physician
  • Hot Springs National Park, AR
  • NPI 1205211380
  NPD (past)
• Omnipoint Surgical Associates LLC

  • Surgery Physician
  • Wytheville, VA
  • NPI 1306245162
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1194893057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HADDON CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676242",
            "telephone_number": "615-771-0114",
            "fax_number": "615-778-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 HADDON CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676242",
            "telephone_number": "615-771-0114",
            "fax_number": "615-778-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMMONS",
        "first_name": "SAMUEL",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "TN MD25854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE PROVIDER ID",
            "identifier": "559915",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "4103936",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084363",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BETTER HEALTH",
            "identifier": "000000167883",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC PROVIDER #",
            "identifier": "5000512",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Claus
• Sydney Allison Clayton, DPT
• Taylor Clayton
• Janet Ruth Cleckner-Mattingly, LMSW
• Emily Elizabeth Clelland
• Juli Clendenin
• James E Cleveland IV, MD
• Iuliia V Clevenger
• Hillarie Morgan Clevlen, PHARMD
• Clinical Solutions Wholesale, LLC

• Family Medicine Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.