Shelbyville Clinic Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHELBYVILLE CLINIC CORP

Doing business as

Laurence Schwartz

Practice address

2320 Thornton Taylor Pkwy
Fayetteville, TN 37334-3630

Phone

(931) 438-5515

Fax

(931) 438-5516

NPI assigned

Dec 28, 2007

Last updated

Oct 15, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

SHELBYVILLE CLINIC CORPAs reported in NPPES

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

Authorized official

Name

Debbie T Brewer

Title

Director

Phone

(877) 892-9813

Specialties & licenses 1

Addresses

Other names 1

• Laurence Schwartz Doing business as

Part of

Shelbyville Clinic Corp

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1942485784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MERIDIAN BLVD",
            "address_2": "ATTN: DEBBIE BREWER",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370676325",
            "telephone_number": "877-892-9813",
            "fax_number": "615-465-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 THORNTON TAYLOR PKWY",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343630",
            "telephone_number": "931-438-5515",
            "fax_number": "931-438-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE CLINIC CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHELBYVILLE CLINIC CORP",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurence Schwartz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pauline S Sawyers, PHD
• Bartie C Scott, FNP
• Cara Scott, PT
• Paxton Seeley
• Joseph Wayne Self
• Dorothy Gail Shelton, LPN
• Gail L Shutt, FNP
• Angela M Simpson, M.CD, SLP-CCC
• Emma Constance Smith
• John Cordell Smith, PHARM.D

• Durable Medical Equipment & Medical Supplies in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.