Active NPI
Southland Health Services, LLC
- Family Medicine Physician
- Maryville, TN
National Provider Identifier
1518650001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SOUTHLAND HEALTH SERVICES, LLC
- Practice address
- 659 Morganton Square Dr
Maryville, TN 37801-4763 - Phone
- (865) 622-8736
- NPI assigned
- May 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clay Stalcup, MD
- Title
- Co-Owner
- Phone
- (865) 406-2715
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
659 Morganton Square Dr
Maryville, TN 37801-4763
Mailing address
659 Morganton Square Dr
Maryville, TN 37801-4763
Phone (865) 622-8736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Maryville, TN
- NPI 1689123887
-
- Psychiatric/Mental Health Nurse Practitioner
- Knoxville, TN
- NPI 1407320039
-
- Family Nurse Practitioner
- Maryville, TN
- NPI 1427612027
-
- Family Medicine Physician
- Seymour, TN
- NPI 1750389979
-
- Psychiatric/Mental Health Nurse Practitioner
- Maryville, TN
- NPI 1285195636
-
- Psychiatric/Mental Health Nurse Practitioner
- Maryville, TN
- NPI 1871273011
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Knoxville, TN
- NPI 1740586726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785283200000",
"number": "1518650001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 MORGANTON SQUARE DR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378014763",
"telephone_number": "865-622-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 MORGANTON SQUARE DR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378014763",
"telephone_number": "865-622-8736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHLAND HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-31",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A",
"authorized_official_last_name": "STALCUP",
"authorized_official_first_name": "CLAY",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "865-406-2715",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.