Shelbyville Clinic Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHELBYVILLE CLINIC CORP

Practice address

2835 Highway 231 N Ste 100
Shelbyville, TN 37160-7327

Phone

(931) 685-8770

Fax

(931) 685-8771

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

James P Wright

Title

VP Physician Business Services

Phone

(615) 778-1502

Specialties & licenses 8

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Debra M Baylor, MD

  • Internal Medicine Physician
  • Murfreesboro, TN
  • NPI 1407829450
  NPD (past)
• William Lee Russell, MD

  • Vascular Surgery Physician
  • Shelbyville, TN
  • NPI 1700876158
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1295785699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 HIGHWAY 231 N STE 100",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607448",
            "telephone_number": "931-685-8770",
            "fax_number": "931-685-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 HIGHWAY 231 N STE 100",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607327",
            "telephone_number": "931-685-8770",
            "fax_number": "931-685-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP PHYSICIAN BUSINESS SERVICES",
        "authorized_official_telephone_number": "615-778-1502"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3732391",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelbyville Cardiology, LLC
• Shelbyville Center for Nursing and Rehabilitation LLC
• Shelbyville Clinic Corp (Shelbyville Orthopedics and Sports Medicine)
• Shelbyville Clinic Corp (Shelbyville Women's Center)
• Shelbyville Clinic Corp (Shelbyville Pulmonary Services)
• Shelbyville Clinic Corp (Surgical Specialty Services)
• Shelbyville Clinic Corp (Jan Crean OB/GYN)
• Shelbyville Clinic Corp (Shelbyville Pediatrics)
• Shelbyville Clinic Corp (Shelbyville Internal Medicine Associates)
• Shelbyville Clinic Corp (Community Heart Clinic)

• Family Medicine Physician in Shelbyville, TN
• Providers in Shelbyville, 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 Jul 26, 2019; 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.