Clyde O Southwell, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

43085 Issued in TN

Practice address

102 Wessington PL
Hendersonville, TN 37075-3085

Phone

(615) 822-2214

NPI assigned

Jun 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pulmonary Disease

Education

University of Connecticut School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194
• Macon Community Hospital Hospital, Lafayette, TN, CCN 441305
• Highpoint Health-Sumner With Ascension Saint Thoma Hospital, Gallatin, TN, CCN 440003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clyde.southwell@ahp.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Diagnostic Imaging, PC

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464
  Medicare reassignment Care Compare group NPD
• Advanced Diagnostic Imaging PC

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD
• Sleep Care Solutions of Nashville LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Nashville, TN
  • NPI 1851455547
  NPD
• Oscar Nicholson Jr MD Inc

  • Surgery Physician
  • Cleveland Heights, OH
  • NPI 1144491200
  NPD (past)
• Pinehurst Medical Clinic, Inc.

  • Internal Medicine Physician
  • Pinehurst, NC
  • NPI 1255388369

  Pulmonary Disease

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hendersonville Hospital Corporation

  • General Acute Care Hospital
  • Hendersonville, TN
  • NPI 1538114434
  Care Compare affiliation
• Macon County General Hospital, Inc.

  • Critical Access Hospital
  • Lafayette, TN
  • NPI 1417938846
  Care Compare affiliation
• Sumner Regional Medical Center LLC

  • General Acute Care Hospital
  • Gallatin, TN
  • NPI 1447571658
  Care Compare affiliation

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1346288966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WESSINGTON PL",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753085",
            "telephone_number": "615-822-2214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 New Shackle Island Rd",
            "address_2": "Suite 140 C",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752379",
            "country_code": "US",
            "telephone_number": "615-822-2214",
            "fax_number": "615-822-6519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Steam Plant Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370663032",
            "country_code": "US",
            "telephone_number": "615-822-2214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Redbud Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "TN",
            "postal_code": "371481673",
            "country_code": "US",
            "telephone_number": "615-822-2214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "491 Sage Rd N Ste 400",
            "address_purpose": "LOCATION",
            "city": "White House",
            "state": "TN",
            "postal_code": "371889361",
            "country_code": "US",
            "telephone_number": "615-822-2214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "TN",
            "postal_code": "370831719",
            "country_code": "US",
            "telephone_number": "615-822-2214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHWELL",
        "first_name": "CLYDE",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "43085",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TN",
            "license": "43085",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "43085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902491",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID PROVIDER#",
            "identifier": "N01356",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "0404464",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER#",
            "identifier": "14014",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER#",
            "identifier": "184386",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FCC PROVIDER#",
            "identifier": "FH2967215",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA PROVIDER#",
            "identifier": "P00278679",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Care Providers LLC
• Southern Medical
• Southern Medical
• Southern Sports Surgical, LLC.
• Haleigh Southern, FNP
• David Parker Sparks, MD
• Keita Spaulding, DMD
• Caroline Spears
• Gypsy Lynn Spencer, PTA
• Spinal Surgery Assisting Services

• Pulmonary Disease Physician in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Pulmonary Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.