Organization Active NPI

Common Illness Clinic LLC

  • Urgent Care Clinic/Center
  • Cleveland, TN
National Provider Identifier
1538220496
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COMMON ILLNESS CLINIC LLC
Practice address
2010 Spring Place Rd SE
Cleveland, TN 37323-3337
Phone
(423) 614-4780
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Brian G Scoggins
Title
Coo
Phone
(423) 322-4553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2010 Spring Place Rd SE
Cleveland, TN 37323-3337

Mailing address

PO Box 3240
Cleveland, TN 37320-3240
Phone (423) 476-7947

National Provider Directory

National Provider Directory

Locations

2010 Spring Place Rd SE
Cleveland, TN 37323
Phone (423) 472-2121

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1538220496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3240",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373203240",
            "telephone_number": "423-476-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 SPRING PLACE RD SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373233337",
            "telephone_number": "423-614-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON ILLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "SCOGGINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "423-322-4553"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.