Clive Anderson Wasson, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

3442 Issued in TN

Practice address

83 Memorial Dr
Winchester, TN 37398

Phone

(931) 967-3966

Fax

(931) 962-0373

NPI assigned

May 9, 2013

Last updated

Aug 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amg-Southern Tennessee LLCGroup PAC ID 5991765943, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058
• Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clive.wasson.1@19363.direct.athenahealth.com

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.

• Amg-Southern Tennessee LLC

  dba Highpoint Family Wellness - Winchester With Ascension Saint Thomas

  • General Practice Physician
  • Winchester, TN
  • NPI 1164789467
  Medicare reassignment Care Compare group NPD
• Amg-Southern Tennessee LLC

  dba Highpoint Family Wellness - Blackwell with Ascension Saint Thomas

  • Rural Health Clinic/Center
  • Tullahoma, TN
  • NPI 1174365803
  NPD
• Amg -Southern Tennessee LLC

  • Internal Medicine Physician
  • Monteagle, TN
  • NPI 1699792390
  NPD (past)
• Baptist Health System, Inc.

  dba Medical Education Faculty

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1598711616
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Thomas Rutherford Hospital

  dba Ascension Saint Thomas Rutherford

  • General Acute Care Hospital
  • Murfreesboro, TN
  • NPI 1164590386
  Care Compare affiliation
• Southern Tennessee Medical Center LLC

  dba Highpoint Health - Winchester with Ascension Saint Thomas

  • General Acute Care Hospital
  • Winchester, TN
  • NPI 1467408781
  Care Compare affiliation

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1215372768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MEMORIAL DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982401",
            "telephone_number": "931-967-3966",
            "fax_number": "931-962-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MEMORIAL DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "37398",
            "telephone_number": "931-967-3966",
            "fax_number": "931-962-0373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Montclair Rd.",
            "address_2": "Suite 317",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352131944",
            "country_code": "US",
            "telephone_number": "205-592-5135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSON",
        "first_name": "CLIVE",
        "middle_name": "ANDERSON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "3442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP (Vision Center 30-0735)
• Katelyn Denise Walker, FNP-C
• Sherri Lee Walker, D. O.
• William Jeffrey Wall, D.D.S.
• Carol Henshaw Wallace, PHARMACIST
• Waters of Winchester LLC
• Tony Lee Watson, CRNA
• Dustin Cole White, PTA
• Rachel White, PTA
• David Williams

• Surgery Physician in Winchester, TN
• Providers in Winchester, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.