COMMUNITY MEDICAL CLINIC, INC. (NPI# 1013048792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013048792 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL CLINIC, INC. |
| Practice Address |
619 Main St N Carthage TN 37030-1259 |
| Practice Telephone | 6157358040 |
| Practice Fax Number | 6157358048 |
| Mailing Telephone | 6157358040 |
| Mailing Fax Number | 6157358048 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NIKKI ADAMS (NP, PRESIDENT) |
| Authorized Official Telephone | 6157358040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
619 MAIN ST N |
| City | CARTHAGE |
| State | TN |
| Zip Code | 37030-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245729052 | Lesa Hughes | Pharmacist | 1 Myer Street, Carthage, TN 37030 | 2018-05-07 |
| 1295242527 | Carthage Family Chiropractic LLC | Chiropractor | 906 Main St N, Carthage, TN 37030 | 2018-01-09 |
| 1255778692 | Smith Co Board of Education | Local Education Agency (LEA) | 126 Scms Lane, Carthage, TN 37030 | 2013-05-24 |
| 1346599685 | Tennessee Department of Health | Skilled Nursing Facility | 251 Joy Alfrod Way, Carthage, TN 37030 | 2012-08-31 |
| 1821386525 | Morlee Burgess | Family Medicine | 133 Hospital Dr Ste 500, Carthage, TN 37030 | 2011-07-14 |
| 1295033595 | Staton Southern Medical, Pllc | Family Medicine | 131 Hospital Drive, Suite 2000, Carthage, TN 37030 | 2011-03-10 |
| 1861728909 | Cristy Stumb | Nurse Practitioner | 619 N. Main St, Carthage, TN 37030 | 2009-10-24 |
| 1356505580 | Melody Lynn Key | Physical Therapy Assistant | 112 Healthcare Drive, Carthage, TN 37030 | 2008-07-16 |
| 1063530962 | Christian Sean Troutman | Chiropractor | 320 Main St North, Carthage, TN 37030 | 2007-03-27 |
| 1730222316 | Deborah D Webster | Registered Nurse | Smith County Health Department, 303 High St. N, Carthage, TN 37030 | 2007-02-14 |
| Find all providers in zip 37030 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1902403769 | Apogee Health Promotions | Clinic/Center | 105 Cottage Rd # B, Carthage, TX 75633-1507 | 2020-10-05 |
| 1669875068 | Badru Inc | Clinic/Center | 217 Upper Ferry Rd, Carthage, TN 37030-1630 | 2014-09-30 |
| 1255424016 | Vibha Vig Md Pa | Clinic/Center | 303 Ellis St., Carthage, MS 39051-4014 | 2006-10-02 |
| 1477870525 | Stumb Healthcare Professionals, LLC | Clinic/Center | 619 N. Main St, Carthage, TN 37030 | 2010-04-29 |
| 1265684476 | Sacry Family Medicine PC | Clinic/Center | 433 S Garrison Ave, Carthage, MO 64836-1749 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281527 | Braxton Medical Clinic, LLC | Clinic/Center | 1410 Kensington Square Ct Ste 103, Murfreesboro, TN 37130-6902 | 2020-10-05 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1700411592 | Fentress Family Care LLC | Clinic/Center | 1010 Old Highway 127 S, Jamestown, TN 38556-5648 | 2020-03-11 |
| 1831724822 | Guiding Star Memphis | Clinic/Center | 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 | 2020-03-10 |
| 1407486764 | Elijahs Dream Compassionate Care | Clinic/Center | 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653 | 2020-01-24 |
| 1518506542 | Faith Medical Group, Pllc | Clinic/Center | 500 Mcfarland St Ste E, Morristown, TN 37814-3992 | 2019-12-20 |
| 1366080582 | Matthew E. Schantz, M.d. | Clinic/Center | 206 S Military St Ste 1, Loretto, TN 38469-2101 | 2019-12-18 |
| 1114563749 | Step One Medical Associates PC | Clinic/Center | 4502 Bristol Hwy, Johnson City, TN 37601-2936 | 2019-11-19 |
| 1023665403 | Elite Healthcare, LLC | Clinic/Center | 117 N 3rd St, Kingston, TN 37763-2842 | 2019-08-21 |
| 1083266381 | Get Into Shape Md | Clinic/Center | 5803 Lee Hwy Ste 101, Chattanooga, TN 37421-3547 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.