Waverly Clinic PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WAVERLY CLINIC PC

Practice address

806 E Main St
Waverly, TN 37185-1814

Phone

(931) 296-7788

Fax

(931) 296-7130

NPI assigned

Oct 10, 2005

Last updated

Sep 11, 2025By 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

Subhi D Ali, MD FACSNPI 1700873049

Title

President

Phone

(931) 296-7788

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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.

• Subhi D Ali, MD FACS

  • Surgery Physician
  • Waverly, TN
  • NPI 1700873049
  Authorized official Same address or phone

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306834908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 E MAIN ST",
            "address_2": "PO BOX 786",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851814",
            "telephone_number": "931-296-7788",
            "fax_number": "931-296-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 E MAIN ST",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851814",
            "telephone_number": "931-296-7788",
            "fax_number": "931-296-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVERLY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "SUBHI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-296-7788",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Michelle Vann, COTA/L
• Tracy W. Vine, RN
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0390)
• Jessica Nicole Waldrop, B.S.
• Susan Warren, PT
• Waverly Health Care and Rehabilitation Center, LLC
• Waverly Pediatric and Adult Care
• Waverly SNF Healthcare LLC (Waverly Hills Post Acute)
• Wayland Alva Brooks
• Angelique Marie Wilcox, OTR/L, OTD

• Surgery Physician in Waverly, TN
• Providers in Waverly, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.