Clay Michael Marvin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28845 Issued in TN

Practice address

1509 E Reelfoot Ave
Union City, TN 38261-5845

Phone

(741) 886-8662

NPI assigned

Feb 4, 2021

Last updated

Feb 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christian Family Medicine, LLCGroup PAC ID 7315903978, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tennessee Quality Care - Home Health Home health agency, Parsons, TN, CCN 447402
• Volunteer Community Hospital Hospital, Martin, TN, CCN 440061

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christian Family Medicine, LLC

  dba Christian Family Medicine and Pediatrics

  • Family Medicine Physician
  • Ripley, TN
  • NPI 1043252620
  Medicare reassignment Care Compare group NPD
• Dyersburg Family Walk-in Clinic LLC

  dba Reelfoot Family Walk-In Clinic

  • Rural Health Clinic/Center
  • Dyersburg, TN
  • NPI 1174712780
  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  TN

  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD
• Independent Radiology Associates PLC

  • Diagnostic Radiology Physician
  • Dyersburg, TN
  • NPI 1194804906
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Martin Health

  dba West Tennessee Healthcare Volunteer Hospital

  • General Acute Care Hospital
  • Martin, TN
  • NPI 1275505372
  Care Compare affiliation
• Tennessee Valley Home Care, LLC

  dba Tennessee Quality Care - Home Health Central

  • Home Health Agency
  • Parsons, TN
  • NPI 1396702536
  Care Compare affiliation

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1992397657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1132",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382371132",
            "telephone_number": "731-695-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 E REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615845",
            "telephone_number": "741-886-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVIN",
        "first_name": "CLAY",
        "middle_name": "MICHAEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Ridge Care & Rehabilitation LLC
• Harbans Lal Malik, M.D
• Paul Joseph Marsidi, M.D.
• Ashley Martin, APRN-BC
• Marvin Asbury Blanton III MD PC
• Sandra E McGrath, NP
• Cathy Hill McKinney, APN
• Memphis Orthopaedic Medical Supplies, LLC (Metro Orthotics)
• Sere Catherine Merriman, PA
• Michael L Bobo, DDS, MD, PSC

• Family Nurse Practitioner in Union City, TN
• Providers in Union City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.