Active NPI
Haynes Medical Clinic
- Primary Care Clinic/Center
- Paris, TN
National Provider Identifier
1629200464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- APN12936
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Terrie B Watson, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.