Active NPI
Cleveland Medical Clinic Inc
- Hospitalist Physician
- Cleveland, TN
National Provider Identifier
1720149222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- CLEVELAND MEDICAL CLINIC INC
- Practice address
- 2305 Chambliss Ave
Cleveland, TN 37320 - Phone
- (423) 559-6000
- Fax
- (423) 559-6653
- NPI assigned
- Dec 12, 2006
- Organization subpart
- Yes
- Parent organization
- CLEVELAND MEDICAL CLINIC INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Brewer
- Title
- Director
- Phone
- (615) 465-7000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary | ||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
2305 Chambliss Ave
Cleveland, TN 37320
Mailing address
7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (615) 465-7626
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3710153 | Medicaid | TN | |
| 840698446A | Medicaid | GA |
Other names 1
- Hospitalist
National Provider Directory
National Provider Directory- Part of
- CHS Cleveland TN Employ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1720149222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 COMMERCE WAY",
"address_2": "SUITE 180",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272829",
"telephone_number": "615-465-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 CHAMBLISS AVE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "37320",
"telephone_number": "423-559-6000",
"fax_number": "423-559-6653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEVELAND MEDICAL CLINIC INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLEVELAND MEDICAL CLINIC INC",
"enumeration_date": "2006-12-12",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-465-7000"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3710153",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "840698446A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospitalist",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cleveland, TN
- Cleveland Home Care Services LLC
- Cleveland Home Respiratory Care,Inc
- Cleveland Medical Associates, PLLC
- Cleveland Medical Clinic Inc
- Cleveland Medical Clinic Inc
- Cleveland Non-Surgical PC
- Cleveland Optical Dispensary, Inc.
- Cleveland Pain Management, PC
- Cleveland Pain Medicine, PLLC
- Cleveland Pediatrics,P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.