South Medical Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH MEDICAL CLINIC LLC

Practice address

118 2ND Ave South
Lewisburg, TN 37091

Phone

(931) 422-5029

Fax

(931) 422-5229

NPI assigned

Mar 4, 2020

Organization subpart

No

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

Authorized official

Name

Edith Ann Wiles

Title

Office Manager

Phone

(931) 422-5029

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shonda Elaine Tormohlen, FNP-C

  • Family Nurse Practitioner
  • Lewisburg, TN
  • NPI 1003406109
  NPD

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1275168817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 2ND AVE SOUTH",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "37091",
            "telephone_number": "931-422-5029",
            "fax_number": "931-422-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 2ND AVE SOUTH",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "37091",
            "telephone_number": "931-422-5029",
            "fax_number": "931-422-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-422-5029"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Smith
• Shannon Leah Smith, LMSW
• Todd C Smith, DC
• Jonathan Reid Snavely, DC
• Nageh Soliman
• Southern Smiles PLLC
• Shelby Sowden, PTA
• State of Tennessee (Marshall County Health Department)
• Hayley L Steely
• Sterling Emergency Services of the Midwest, Inc (Ellington Emergency Department Services)

• Family Medicine Physician in Lewisburg, TN
• Providers in Lewisburg, 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 Mar 4, 2020; 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.