Active NPI
Lobelville Clinic
- Family Medicine Physician
- Lobelville, TN
National Provider Identifier
1194923029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LOBELVILLE CLINIC
- Practice address
- 236 North Main St
Lobelville, TN 37097 - Phone
- (931) 593-2277
- Fax
- (931) 593-2517
- NPI assigned
- Jul 3, 2007
- Last updated
- Dec 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Becky S Cunningham, OFFICE MGR.
- Title
- Office MGR.
- Phone
- (931) 593-2277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
236 North Main St
Lobelville, TN 37097
Mailing address
PO Box 219
236 North Main St.
Lobelville, TN 37097-0219
Phone (931) 593-2277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3303612 | Medicaid | TN |
Other names 1
- Kenneth Salhany dba Lobelville Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0704000 | Lobelville Clinic | Certificate of waiver | Oct 21, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Lobelville, TN
- NPI 1255302907
-
- Family Nurse Practitioner
- Lobelville, TN
- NPI 1477659985
-
- General Practice Registered Nurse
- Lobelville, TN
- NPI 1962480665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386720000000",
"number": "1194923029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 219",
"address_2": "236 NORTH MAIN ST.",
"city": "LOBELVILLE",
"state": "TN",
"postal_code": "370970219",
"telephone_number": "931-593-2277",
"fax_number": "931-593-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 NORTH MAIN ST",
"city": "LOBELVILLE",
"state": "TN",
"postal_code": "37097",
"telephone_number": "931-593-2277",
"fax_number": "931-593-2517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOBELVILLE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-03",
"last_updated": "2013-12-11",
"status": "A",
"authorized_official_last_name": "CUNNINGHAM",
"authorized_official_first_name": "BECKY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OFFICE MGR.",
"authorized_official_telephone_number": "931-593-2277",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OFFICE MGR."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3303612",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kenneth Salhany dba Lobelville Clinic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lobelville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.