NPIMap

Organization Active NPI

Dyersburg Family Walk-in Clinic

Doing business as Neighborhood Walk-In Clinic

  • Family Medicine Physician
  • Paris, TN
National Provider Identifier
1689132193
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DYERSBURG FAMILY WALK-IN CLINIC
Doing business as
Neighborhood Walk-In Clinic
Practice address
193 Jim Adams Dr
Paris, TN 38242-4965
Phone
(731) 924-9992
Fax
(731) 924-9501
NPI assigned
Mar 5, 2019
Last updated
Mar 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Sheryl Lyn WrightNPI 1942249677
Title
Ceo
Phone
(731) 285-6110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

193 Jim Adams Dr
Paris, TN 38242-4965

Mailing address

193 Jim Adams Dr
Paris, TN 38242-4965
Phone (731) 924-9992

Other names 1

  • Neighborhood Walk-In Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dyersburg Family Walk-in Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

193 Jim Adams Dr
Paris, TN 38242
Phone (731) 641-6461

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1689132193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 JIM ADAMS DR",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424965",
            "telephone_number": "731-924-9992",
            "fax_number": "731-924-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 JIM ADAMS DR",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424965",
            "telephone_number": "731-924-9992",
            "fax_number": "731-924-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYERSBURG FAMILY WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-285-6110"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Walk-In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 5, 2019; 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.