Clarksville Practice Management, Inc.

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

Legal business name

CLARKSVILLE PRACTICE MANAGEMENT, INC.

Doing business as

Achieve Medical Weight Loss

Practice address

1715 Wilma Rudolph Blvd Ste C
Clarksville, TN 37040-6862

Phone

(931) 648-2600

NPI assigned

Dec 8, 2020

Last updated

Dec 8, 2020By 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

David Turner, MD

Title

Medical Director

Phone

(931) 334-6198

Specialties & licenses 1

Addresses

Other names 1

• Achieve Medical Weight Loss Doing business as

Locations

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1457957227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 CARRIAGE HOUSE DR STE E",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 WILMA RUDOLPH BLVD STE C",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406862",
            "telephone_number": "931-648-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE PRACTICE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "931-334-6198",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achieve Medical Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obesity and Weight Management Nutrition Registered Dietitian in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.