NPIMap

Organization Active NPI

New South Medical

  • Specialist
  • Clarksville, TN
National Provider Identifier
1952792111
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
29433 Issued in TN
Legal business name
NEW SOUTH MEDICAL
Doing business as
Women's Health Center of Clarksville
Practice address
2292 Dalton Dr
Suite C
Clarksville, TN 37043-8960
Phone
(931) 645-5595
Fax
(931) 645-5596
NPI assigned
Feb 10, 2015
Organization subpart
Yes
Parent organization
NEW SOUTH MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Lisa M McIntosh, M.D.
Title
Physician
Phone
(931) 645-5595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 29433 TN Primary

Addresses

Primary practice location

2292 Dalton Dr
Suite C
Clarksville, TN 37043-8960

Mailing address

2292 Dalton Dr
Suite C
Clarksville, TN 37043-8960
Phone (931) 645-5595

Other identifiers 2

IdentifierTypeStateIssuer
024236OtherTNLICENSE
29433OtherTNMEDICAL LICENSE

Other names 1

  • Women's Health Center of Clarksville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New South Medical Enterprises2 organizations share this tax ID, including this one
Part of
New South Medical Enterprises

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1952792111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2292 DALTON DR",
            "address_2": "SUITE C",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438960",
            "telephone_number": "931-645-5595",
            "fax_number": "931-645-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 DALTON DR",
            "address_2": "SUITE C",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438960",
            "telephone_number": "931-645-5595",
            "fax_number": "931-645-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SOUTH MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW SOUTH MEDICAL",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "931-645-5595",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "29433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "024236",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "29433",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Health Center of Clarksville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.