Individual provider Active NPI

Heather Huguley, PA-C

  • Medical Physician Assistant
  • Clarksville, TN
National Provider Identifier
1245607373
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5808 Issued in TN
Practice address
2147 Wilma Rudolph Blvd Ste 102
Clarksville, TN 37040-6798
Phone
(615) 988-2014
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5808 TN Primary

Addresses

Primary practice location

2147 Wilma Rudolph Blvd Ste 102
Clarksville, TN 37040-6798

Mailing address

2147 Wilma Rudolph Blvd Ste 102
Clarksville, TN 37040-6798
Phone (615) 988-2014

Other identifiers 1

IdentifierTypeStateIssuer
07877328MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Mississippi Mental Health Mental Retardation Commission PastSince Jan 19, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1245607373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 WILMA RUDOLPH BLVD STE 102",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406798",
            "telephone_number": "615-988-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 WILMA RUDOLPH BLVD STE 102",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406798",
            "telephone_number": "615-988-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGULEY",
        "first_name": "HEATHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "5808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07877328",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.