Kimberly Elaine Clark, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Paris, TN
NPI 1861366601 · NPPES record last updated Dec 30, 2025
Key facts
- NPI
- 1861366601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 40083 (TN)
- Practice address
- 305 Tyson Ave
Paris, TN 38242-4579 - Phone
- (731) 442-0687
- NPI assigned
- Oct 3, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry County Medical Center
West Tennessee Healthcare Henry County
Practice addresses (Care Compare)
301 Tyson Ave
Paris, TN 38242-4544
305 Tyson Ave
Paris, TN 38242-4579
Phone (731) 642-0025
Hospital & facility affiliations
- Amedisys Home Health Care
- West Tennessee Healthcare Henry County Hospital
- Jackson-Madison County General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260226003191 | TN | Practitioner - Nurse Practitioner | 3072094002 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40083 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WT Medical Associates | Family Medicine | Current |
Accepting new patients |
| Paris Henry County Clinic, S.C. | Family Medicine | Current | Accepting new patients |
| WT Medical Associates | Current |
Accepting new patients | |
| West Tennessee Healthcare Henry County | Current |
Accepting new patients | |
| West Tennessee Healthcare Henry County | Past | Accepting new patients |
Locations
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
243 Jim Adams Dr
Paris, TN 38242
Phone (731) 644-2747
305 Tyson Ave
Paris, TN 38242
Phone (731) 642-0025
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b673e6c7-c87b-498f-86b2-99b24c52c924/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 40083 | TN | Yes |
Addresses
Primary practice location
305 Tyson Ave
Paris, TN 38242-4579
Mailing address
257 Bancorp South Pkwy
Jackson, TN 38305-7582
Phone (731) 660-8739
Other names
- Kimberly Elaine Williams
Other providers in Paris, TN
- Gerald Blake Chandler
- Charles a. Walker Dba Walker Pain Management Centers
- Brian Edward Cheek
- Morgan Chilcutt
- Kimberly Chisolm
- Rita Clemons
- Jennifer A Cloar
- Andrew Clark Coleman
- Chad Coleman
- Joshua Coleman
All providers in Paris, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.