Camden Medical Clinic, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

APN0000006407 Issued in TN

Legal business name

CAMDEN MEDICAL CLINIC, INC

Practice address

160 Hospital Dr.
Camden, TN 38320

Phone

(731) 279-0600

Fax

(731) 279-0555

NPI assigned

Jan 6, 2006

Last updated

Feb 2, 2011By 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. Deborah T Wood, FNP

Title

Nurse Practitioner

Phone

(731) 279-0600

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19838/brand/1/csg/1/fhir/r4

Practitioners 4

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.

• Deborah T Smothers, F.N.P.

  • Family Nurse Practitioner
  • Camden, TN
  • NPI 1467648949
  Medicare reassignment NPD
• William Raymond Carney, M.D.

  • Family Medicine Physician
  • Camden, TN
  • NPI 1770521940
  NPD (past)
• Karen Lynn Frederick, M.S.N., F.N.P.-B.C.

  • Family Nurse Practitioner
  • Camden, TN
  • NPI 1649593112
  NPD (past)
• Sergio Agustin Salazar, M.D.

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1679591838
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1285612564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HOSPITAL DR.",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "38320",
            "telephone_number": "731-279-0600",
            "fax_number": "731-279-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HOSPITAL DR.",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "38320",
            "telephone_number": "731-279-0600",
            "fax_number": "731-279-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "731-279-0600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "APN0000006407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3727780",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "44D0984486",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camden Eye Care Associates
• Camden General Hospital
• Camden General Hospital (Camden ER)
• Camden General Hospital, Inc. (West Tennessee Healthcare Camden Hospital)
• Camden General Hospital, Inc. (West Tennessee Healthcare Camden Hospital)
• Camden Operator LLC (Camden Healthcare & Rehab Center)
• Steven Lee Cannady, F.N.P.
• William Raymond Carney, M.D.
• Matthew Carrico, PA-C
• Mickie Carter, MS, PA-C

• Clinic/Center in Camden, TN
• Providers in Camden, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.

Verify at the official NPI Registry.