Organization Active NPI

Riverside Medical Associates PC

  • Primary Care Clinic/Center
  • Clarksville, TN
National Provider Identifier
1528257532
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD-019687 Issued in TN
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

Updated by the provider on Dec 1, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1174628523OtherNPPES

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.