NPIMap

Organization Active NPI

QCWH PC

  • Obstetrics & Gynecology Physician
  • Clarksville, TN
National Provider Identifier
1760135362
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
QCWH PC
Practice address
751 Chesapeake LN
Clarksville, TN 37040-5263
Phone
(931) 201-9642
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Tracy Coffey, MDNPI 1841408903
Title
Owner
Phone
(931) 561-1234

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
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

751 Chesapeake LN
Clarksville, TN 37040-5263

Mailing address

751 Chesapeake LN
Clarksville, TN 37040-5263
Phone (615) 419-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220216001094 TN Part B Supplier - Clinic/Group Practice 1658764659 Receives reassigned benefits from 6 practitioners
Practice locations: Clarksville, TN

National Provider Directory

National Provider Directory

Locations

751 Chesapeake Ln
#101
Clarksville, TN 37040
Phone (931) 538-1811

751 Chesapeake Ln
Clarksville, TN 37040
Phone (931) 538-1811

Practitioners & affiliated clinicians

Practitioners 10

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": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1760135362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 CHESAPEAKE LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405263",
            "telephone_number": "615-419-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 CHESAPEAKE LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405263",
            "telephone_number": "931-201-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QCWH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-561-1234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.