NPIMap

Organization Active NPI

Clarksville Montgomery County School System

  • Primary Care Clinic/Center
  • Clarksville, TN
National Provider Identifier
1295130755
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
19272 Issued in TN
Legal business name
CLARKSVILLE MONTGOMERY COUNTY SCHOOL SYSTEM
Practice address
350 Pageant LN
Suite 307
Clarksville, TN 37040-8606
Phone
(931) 906-2001
Fax
(931) 648-5618
NPI assigned
Oct 27, 2014
Last updated
Oct 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Sanford Herman, M.D.
Title
Supervising Physician
Phone
(615) 491-9571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 19272 TN Primary

Addresses

Primary practice location

350 Pageant LN
Suite 307
Clarksville, TN 37040-8606

Mailing address

350 Pageant LN
Suite 307
Clarksville, TN 37040-8606
Phone (931) 906-2001

National Provider Directory

National Provider Directory

Locations

350 Pageant Ln
Ste 307
Clarksville, TN 37040
Phone (931) 906-2001

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1295130755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PAGEANT LN",
            "address_2": "SUITE 307",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370408606",
            "telephone_number": "931-906-2001",
            "fax_number": "931-648-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PAGEANT LN",
            "address_2": "SUITE 307",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370408606",
            "telephone_number": "931-906-2001",
            "fax_number": "931-648-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE MONTGOMERY COUNTY SCHOOL SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "615-491-9571",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "19272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.