Organization Active NPI

New South Medical Enterprises

  • Gynecology Physician
  • Clarksville, TN
National Provider Identifier
1477866820
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
029433 Issued in TN
Legal business name
NEW SOUTH MEDICAL ENTERPRISES
Practice address
2503 Highway 41a Byp
Clarksville, TN 37043-3902
Phone
(931) 645-5595
Fax
(931) 645-5596
NPI assigned
Jul 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Authorized official

Name
Dr. Lisa Marie McIntosh, MDNPI 1407941578
Title
Medical Director
Phone
(931) 645-5595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 029433 TN Primary

Addresses

Primary practice location

2503 Highway 41a Byp
Clarksville, TN 37043-3902

Mailing address

2503 Highway 41a Byp
Clarksville, TN 37043-3902
Phone (931) 645-5595

National Provider Directory

National Provider Directory
Tax ID family
New South Medical Enterprises2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1477866820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 HIGHWAY 41A BYP",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433902",
            "telephone_number": "931-645-5595",
            "fax_number": "931-645-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 HIGHWAY 41A BYP",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433902",
            "telephone_number": "931-645-5595",
            "fax_number": "931-645-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SOUTH MEDICAL ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "931-645-5595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "029433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 14, 2010; 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.