Organization Active NPI

Care Management Group LLC

  • Internal Medicine Physician
  • Clarksville, TN
National Provider Identifier
1649609603
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARE MANAGEMENT GROUP LLC
Doing business as
Memorial Medical Group
Practice address
1820 Haynes St
Clarksville, TN 37043-4547
Phone
(931) 245-1500
Fax
(931) 245-1544
NPI assigned
Nov 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
John J James, DO
Title
Owner
Phone
(931) 245-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1820 Haynes St
Clarksville, TN 37043-4547

Mailing address

PO Box 3929
Clarksville, TN 37043-0929
Phone (931) 245-1500

Other identifiers 1

IdentifierTypeStateIssuer
Q006038MedicaidTN

Other names 1

  • Memorial Medical Group Doing business as

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8869/brand/1/csg/1/fhir/r4

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": "1384041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1649609603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3929",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370430929",
            "telephone_number": "931-245-1500",
            "fax_number": "931-245-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 HAYNES ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434547",
            "telephone_number": "931-245-1500",
            "fax_number": "931-245-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-10",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-245-1500",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006038",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 11, 2015; 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.