Organization Active NPI

Haynes Medical Clinic

  • Primary Care Clinic/Center
  • Paris, TN
National Provider Identifier
1629200464
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
APN12936 Issued in TN
Legal business name
HAYNES MEDICAL CLINIC
Practice address
1116 N Market St
Paris, TN 38242-3206
Phone
(731) 642-7060
Fax
(731) 641-7565
NPI assigned
Aug 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Ms. Terrie B Watson, FNPNPI 1851502009
Title
FNP
Phone
(731) 407-9700

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X APN12936 TN Primary

Addresses

Primary practice location

1116 N Market St
Paris, TN 38242-3206

Mailing address

1009 East Wood St
Paris, TN 38242
Phone (731) 407-9700

National Provider Directory

National Provider Directory

Locations

1116 N Market St
Paris, TN 38242
Phone (731) 642-7060

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": "1250035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1629200464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 EAST WOOD ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "38242",
            "telephone_number": "731-407-9700",
            "fax_number": "731-641-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N MARKET ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382423206",
            "telephone_number": "731-642-7060",
            "fax_number": "731-641-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-12",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TERRIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "731-407-9700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "APN12936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.