Southern Medical Clinics, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD31732 Issued in TN

Legal business name

SOUTHERN MEDICAL CLINICS, LLC

Practice address

2384 Blue Springs Rd SE
Cleveland, TN 37311-0909

Phone

(423) 728-1845

Fax

(423) 728-1925

NPI assigned

May 3, 2006

Last updated

Jun 5, 2014By 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

Mrs. Debra Lynn Chin, RN

Title

Office Manager

Phone

(423) 728-1845

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• David L Byrd, MD

  • Family Medicine Physician
  • Athens, TN
  • NPI 1447262449
  NPD (past)
• Robert Kevin Chin, PA-C

  • Physician Assistant
  • Athens, TN
  • NPI 1336367671
  NPD (past)
• David Stephen Cofer, NP-C

  • Family Nurse Practitioner
  • Rock Spring, GA
  • NPI 1831354455
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1508824749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2515",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373202515",
            "telephone_number": "423-728-1845",
            "fax_number": "423-728-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 BLUE SPRINGS RD SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373110909",
            "telephone_number": "423-728-1845",
            "fax_number": "423-728-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-728-1845",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD31732",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA753",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast TN Human Resource Agency
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• Southeastern Orthotics & Prosthetics, Inc.
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Southern Home Care Services, Inc. (All Ways Caring HomeCare)
• Southern Medical Hearing Centers
• Southu LLC (Medical Center Compound Pharmacy)
• Jason Ronald Spangler, D.O.
• Spark Speech, Language and Learning Services LLC
• Specialists in Pain Management, PLLC Dba Spine & Pain Associates

• Primary Care Clinic/Center in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.