Clark E Archer, MD

Individual provider Active NPI Emergency Medicine Physician · Lebanon, TN

NPI 1891742904 · NPPES record last updated Jul 28, 2025

Key facts

NPI
1891742904
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
34250 (TN)
Practice address
1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone
(615) 875-6415
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040922000725 TN Practitioner - Emergency Medicine 3072581560 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TN, PC Emergency Medicine Current
since Apr 1, 2023
Accepting new patients
Emergency Physicians of Nashville, PLLC Emergency Medicine Past Accepting new patients
Hospital Based Medical Services of Tennessee-I PC Emergency Medicine Past
since Dec 1, 2018
Accepting new patients

Locations

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

105 Redbud Dr
Portland, TN 37148
Phone (615) 325-1215

200 Stonecrest Blvd
Smyrna, TN 37167
Phone (615) 768-2000

3001 Reserve Blvd
Spring Hill, TN 37174
Phone (931) 489-1100

Interoperability endpoints

  • Direct secure messaging: clark.archer.1@17005.direct.athenahealth.com
  • Direct secure messaging: archer.clark.1@12732.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34250 TN Yes

Addresses

Primary practice location

1411 W Baddour Pkwy
Lebanon, TN 37087-2513

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

2910 S Church St
B
Murfreesboro, TN 37127-7147
Phone (615) 895-3600

Other providers in Lebanon, TN

All providers in Lebanon, TN · Emergency Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.