Organization Active NPI

Tennessee Comprehensive Lung and Sleep Center,PC

  • Pulmonary Disease Physician
  • Hendersonville, TN
National Provider Identifier
1841471216
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
TENNESSEE COMPREHENSIVE LUNG AND SLEEP CENTER,PC
Practice address
102 Wessington PL
Hendersonville, TN 37075-3085
Phone
(615) 822-2214
Fax
(615) 822-6519
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

Name
Dr. Clyde Obrien Southwell, MD, FCCP
Title
Physician/Medical Director
Phone
(615) 822-2214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

102 Wessington PL
Hendersonville, TN 37075-3085

Mailing address

102 Wessington PL
Hendersonville, TN 37075-3085
Phone (615) 822-2214

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2013030Tennessee Comprehensive Lung and Sleep Center102 Wessington Place, Hendersonville, TN 37075Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory

Locations

353 New Shackle Island Rd
Ste 127B
Hendersonville, TN 37075
Phone (615) 459-4531

102 Wessington Pl
Hendersonvlle, TN 37075
Phone (615) 418-2916

Practitioners & affiliated clinicians

Practitioners 2

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": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1841471216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WESSINGTON PL",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753085",
            "telephone_number": "615-822-2214",
            "fax_number": "615-822-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WESSINGTON PL",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753085",
            "telephone_number": "615-822-2214",
            "fax_number": "615-822-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE COMPREHENSIVE LUNG AND SLEEP CENTER,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "SOUTHWELL",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "OBRIEN",
        "authorized_official_title_or_position": "PHYSICIAN/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-822-2214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FCCP"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.