Active NPI
Riverside Medical Associates PC
- Primary Care Clinic/Center
- Clarksville, TN
National Provider Identifier
1528257532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- MD-019687
- Legal business name
- RIVERSIDE MEDICAL ASSOCIATES PC
- Practice address
- 127 Dean Dr
Clarksville, TN 37040-3981 - Phone
- (931) 906-9473
- Fax
- (931) 906-9477
- NPI assigned
- Oct 16, 2007
- 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. Nicholas Alexander Tsambassis, M.D.
- Title
- Physician/President
- Phone
- (931) 906-9473
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | MD-019687 | TN | Primary |
Addresses
Primary practice location
127 Dean Dr
Clarksville, TN 37040-3981
Mailing address
127 Dean Dr
Clarksville, TN 37040-3981
Phone (931) 906-9473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174628523 | Other | NPPES |
National Provider Directory
National Provider DirectoryLocations
127 Dean Dr
Clarksville, TN 37040
Phone (931) 278-7408
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Driver
- Clarksville, TN
- NPI 1649604943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291161600000",
"number": "1528257532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 DEAN DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370403981",
"telephone_number": "931-906-9473",
"fax_number": "931-906-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 DEAN DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370403981",
"telephone_number": "931-906-9473",
"fax_number": "931-906-9477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE MEDICAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-16",
"last_updated": "2010-12-01",
"status": "A",
"authorized_official_last_name": "TSAMBASSIS",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "ALEXANDER",
"authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
"authorized_official_telephone_number": "931-906-9473",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TN",
"license": "MD-019687",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1174628523",
"state": null
}
],
"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 Dec 1, 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.