Individual provider Active NPI

Clarence Macdonald Worley, MD

  • Integrative Medicine Physician
  • Maryville, TN
National Provider Identifier
1922080993
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
51786 Issued in TN
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

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
9764TNMDClinical Social Worker
51786TNMDIntegrative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Brock, Henderson, Di Prisco, Ravelo and Green Inc Oral and Maxillofacial Surgery PastSince Jan 12, 2020 Accepting new patients
Lewis D Gilbert, DDS, LTD PastSince Jan 15, 2018 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.

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.

Verify at the official NPI Registry.