Downtown Medical Clinic PLLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

AP0005413 Issued in TN

Legal business name

DOWNTOWN MEDICAL CLINIC PLLC

Practice address

113 Hopkins Avenue
Bells, TN 38006

Phone

(731) 663-0951

Fax

(731) 663-0941

NPI assigned

Mar 27, 2013

Last updated

May 30, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary N Bond, FNP

Title

Nurse Practioner

Phone

(731) 663-0951

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1255673380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HOPKINS AVENUE",
            "city": "BELLS",
            "state": "TN",
            "postal_code": "38006",
            "telephone_number": "731-663-0951",
            "fax_number": "731-663-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HOPKINS AVENUE",
            "city": "BELLS",
            "state": "TN",
            "postal_code": "38006",
            "telephone_number": "731-663-0951",
            "fax_number": "731-663-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "731-663-0951",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "TN",
            "license": "AP0005413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3347868",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Bond, APRN MSN
• April Burleson, MSN, FNP-C
• Chablis Patrick Despain, D.C.
• Wendy Dixon
• April R Downing, FNP, APN
• Neena Lyn Elmore, M.S. CCC-SLP
• Herschel J. Gaddy III, DMD
• Olivia Hart Gaddy
• Olivia Brooke Gaines, MS, CCC-SLP
• Glenn R Bonifield Jr (Mehr Drug Store)

• Community Health Clinic/Center in Bells, TN
• Providers in Bells, TN by specialty
• Community Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.