Active NPI
Martin Clinic Corp
- Rural Health Clinic/Center
- Martin, TN
National Provider Identifier
1841411642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- MARTIN CLINIC CORP
- Practice address
- 143 Kennedy Dr
Suite a
Martin, TN 38237-3309 - Phone
- (731) 587-5321
- Fax
- (731) 587-2145
- NPI assigned
- May 1, 2007
- Organization subpart
- Yes
- Parent organization
- MARTIN CLINIC CORP
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
- (877) 892-9813
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | |||
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
143 Kennedy Dr
Suite a
Martin, TN 38237-3309
Mailing address
7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829
Phone (615) 465-3007
Other names 1
- Rural Health Associates of NW TN
National Provider Directory
National Provider Directory- Part of
- Martin Clinic Corp
Locations
143 Kennedy Dr
Ste C
Martin, TN 38237
Phone (731) 587-6300
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Martin, TN
- NPI 1568465102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1841411642",
"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": "615-465-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 KENNEDY DR",
"address_2": "SUITE A",
"city": "MARTIN",
"state": "TN",
"postal_code": "382373309",
"telephone_number": "731-587-5321",
"fax_number": "731-587-2145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN CLINIC CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARTIN CLINIC CORP",
"enumeration_date": "2007-05-01",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "BREWER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "877-892-9813"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rural Health Associates of NW TN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Martin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.