Somerville Medical Clinic,Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SOMERVILLE MEDICAL CLINIC,INC

Practice address

213 Lakeview Rd
Somerville, TN 38068-9744

Phone

(901) 465-5466

Fax

(901) 465-9048

NPI assigned

Jan 22, 2010

Organization subpart

No

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

Authorized official

Name

Raynor Shoaf

Title

Office Manager

Phone

(901) 465-5466

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terri Nicole Alvarado Ramirez, NP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1750647566
  NPD
• Deanna S Elsea, MD

  • Internal Medicine Physician
  • Destrehan, LA
  • NPI 1619966900
  NPD (past)

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1972834414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380680640",
            "telephone_number": "901-465-5466",
            "fax_number": "901-465-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 LAKEVIEW RD",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380689744",
            "telephone_number": "901-465-5466",
            "fax_number": "901-465-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERVILLE MEDICAL CLINIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "SHOAF",
        "authorized_official_first_name": "RAYNOR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-465-5466"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAMEY COLSTON FNP NPI",
            "identifier": "1437245792",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOMERVILLE MEDICAL CLINIC,INC NPI",
            "identifier": "1972834414",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "4108029",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518107",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. DAVID SEATON NPI",
            "identifier": "1487748745",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHLEY CRAWFORD FNP NPI",
            "identifier": "1629018981",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Denise Smith, FNP
• Somerville Dental Associates
• Somerville Dialysis Center LLC (Somerville Dialysis)
• Somerville Emergency Services, LLC
• Somerville Emergency Services, LLC
• Stacie Sowell, FNP-C
• SS Holdings, LLC
• State of Tennessee (Fayette County Health Department)
• Steven Zambrano, DDS, PLLC (Somerville Dental Care)
• Marie Middlecoff Stevens, DPH

• Multi-Specialty Clinic/Center in Somerville, TN
• Providers in Somerville, TN by specialty
• Multi-Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.