Active NPI
Clarence Macdonald Worley, MD
- Integrative Medicine Physician
- Maryville, TN
National Provider Identifier
1922080993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- License
- 51786
- Practice address
- 1022 W Broadway Ave
Maryville, TN 37801-5510 - Phone
- (678) 524-5077
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral Medicine Dentistry | 125Q00000X | 9764 | TN | |
| Integrative Medicine Physician | 202D00000X | 51786 | TN | Primary |
Addresses
Primary practice location
1022 W Broadway Ave
Maryville, TN 37801-5510
Mailing address
156 Fencerail Gap
Walland, TN 37886-2510
Phone (678) 524-5077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9764 | TN | MD | Clinical Social Worker |
| 51786 | TN | MD | Integrative Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Lewis D Gilbert, DDS, LTD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Beckley, WV
- NPI 1194364398
-
- Oral and Maxillofacial Surgery Clinic/Center
- Summersville, WV
- NPI 1346374634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776297600000",
"number": "1922080993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 FENCERAIL GAP",
"city": "WALLAND",
"state": "TN",
"postal_code": "378862510",
"telephone_number": "678-524-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 W BROADWAY AVE",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378015510",
"telephone_number": "678-524-5077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY",
"first_name": "CLARENCE",
"middle_name": "MACDONALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2026-04-16",
"certification_date": "2026-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "125Q00000X",
"taxonomy_group": "",
"desc": "Dentist, Oral Medicine",
"state": "TN",
"license": "9764",
"primary": false
},
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "TN",
"license": "51786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.