NPIMap

Organization Active NPI

Vanderbilt-Ingram Cancer Center Clarksville, LLC

Doing business as Vanderbilt-Ingram Cancer Center at Tennova Healthcare-Clarksville

  • Radiation Oncology Physician
  • Clarksville, TN
National Provider Identifier
1295832525
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
VANDERBILT-INGRAM CANCER CENTER CLARKSVILLE, LLC
Doing business as
Vanderbilt-Ingram Cancer Center at Tennova Healthcare-Clarksville
Practice address
375 Alfred Thun Rd
Clarksville, TN 37040-5339
Phone
(931) 221-0479
Fax
(931) 221-3280
NPI assigned
Sep 20, 2006
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Mrs. Karen Munyon
Title
Director
Phone
(615) 936-6001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

375 Alfred Thun Rd
Clarksville, TN 37040-5339

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Phone (615) 875-8618

Other identifiers 1

IdentifierTypeStateIssuer
3733547MedicaidTN

Other names 1

  • Vanderbilt-Ingram Cancer Center at Tennova Healthcare-Clarksville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060502000125 TN Part B Supplier - Clinic/Group Practice 9830109123 Receives reassigned benefits from 18 practitioners
Practice locations: Clarksville, TN

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

375 Alfred Thun Rd
Clarksville, TN 37040
Phone (931) 221-0479

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1295832525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-875-8618",
            "fax_number": "615-322-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ALFRED THUN RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405339",
            "telephone_number": "931-221-0479",
            "fax_number": "931-221-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERBILT-INGRAM CANCER CENTER CLARKSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "MUNYON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-936-6001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3733547",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanderbilt-Ingram Cancer Center at Tennova Healthcare-Clarksville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.