Walk in Clinic of Sparta LLC.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0000000834 Issued in TN

Legal business name

WALK IN CLINIC OF SPARTA LLC.

Practice address

396 N Spring St
Sparta, TN 38583-1327

Phone

(931) 836-2228

NPI assigned

Feb 27, 2007

Last updated

Mar 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Wayne Durbin, PHYSICIAN ASSISTANT

Title

President

Phone

(931) 836-2228

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Toni Dawn Clayton

  • Other Technician
  • Sparta, TN
  • NPI 1497144463
  NPD (past)
• Brittany Nicole Jones

  • Other Technician
  • Sparta, TN
  • NPI 1174912158
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1952438020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 N SPRING ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831327",
            "telephone_number": "931-836-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 N SPRING ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831327",
            "telephone_number": "931-836-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK IN CLINIC OF SPARTA LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "DURBIN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-836-2228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA0000000834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Sparta, TN
• Providers in Sparta, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.