AFC PHYSICIANS OF TENNESSEE, PC (NPI# 1639508666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639508666 |
| Entity Type | Organization |
| Organization Name | AFC PHYSICIANS OF TENNESSEE, PC |
| Practice Address |
1763 Madison Street Commons Clarksville TN 37043 |
| Mailing Address |
3700 Cahaba Beach Rd Birmingham AL 35242-5225 |
| Practice Telephone | 9312788000 |
| Practice Fax Number | 9312788004 |
| Mailing Telephone | 2054038902 |
| Mailing Fax Number | 2054212109 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | MR. RANDY JOHANSEN (PRESIDENT) |
| Authorized Official Telephone | 0542121012 |
| Is Organization Subpart | Y |
| Parent Organization Name | AFC PHYSICIANS OF TENNESSEE, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MCR PTAN | 103G702075 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649647249 | Afc Physicians of Tennessee, PC | Internal Medicine | 9203 Kingston Pike, Knoxville, TN 37922-2318 | 2015-08-31 |
| 1902208630 | Afc Physicians of Tennessee, PC | General Practice | 2070 Wall Street, Spring Hill, TN 37174-0000 | 2014-09-25 |
| 1871914127 | Afc Physicians of Tennessee, PC | General Practice | 3520 Cummings Highway, Chattanooga, TN 37419-2311 | 2014-01-03 |
| 1881028512 | Afc Physicians of Tennessee, PC | General Practice | 1015 Hunters Crossing Drive, Alcoa, TN 37701-1850 | 2013-08-29 |
| 1851632558 | Afc Physicians of Tennessee, PC | General Practice | 355 Pleasant Grove Road, Suite # 1400, Mt. Juliet, TN 37122-3942 | 2013-03-06 |
| 1285937003 | Afc Physicians of Tennessee, PC | General Practice | 985 Industrial Blvd, Smyrna, TN 37167-6815 | 2010-12-16 |
| 1356778682 | Afc Physicians of Tennessee, PC | General Practice | 5826 Nolensville Pike, Nashville, TN 37211-6502 | 2013-10-01 |
| 1376884064 | Afc Physicians of Tennessee, PC | General Practice | 291 Indian Lake Blvd, Hendersonville, TN 37075-6270 | 2013-03-06 |
| 1114234523 | Afc Physicians of Tennessee, PC | General Practice | 6606 Charlotte Pike, Ste# 104, Nashville, TN 37209 | 2010-09-07 |
| Street Address |
1763 MADISON STREET COMMONS |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807601 | The Point Surgical Pllc | General Practice | 1636 Madison St Ste C, Clarksville, TN 37043-4934 | 2020-06-26 |
| 1518090794 | Barbara Mikicki | General Practice | 560 Fire Station Rd, Clarksville, TN 37043-4016 | 2007-03-14 |
| 1366594525 | Brian Christopher Gullett | General Practice | 343 Adamik Rd, Clarksville, PA 15322-7395 | 2007-01-17 |
| 1598395220 | Clarksville Physical Medicine Pllc | General Practice | 1636 Madison St, Clarksville, TN 37043-2977 | 2020-01-22 |
| 1699319558 | Shelby Medical, Inc. | General Practice | 11 Sherwood Ln, Clarksville, AR 72830-4500 | 2019-11-04 |
| 1255875258 | Skintegrity Pllc | General Practice | 1820 Haynes St, Clarksville, TN 37043-4547 | 2016-12-09 |
| 1114317260 | Nebben Physical Medicine, LLC | General Practice | 282 Clear Sky Ct, Clarksville, TN 37043-5653 | 2015-01-28 |
| 1548535842 | Dynamic Healing LLC | General Practice | 1820 Haynes St, Clarksville, TN 37043-4547 | 2012-03-20 |
| 1669683116 | Dr.'s Hudson & Hudson | General Practice | 1856 Memorial Dr, Clarksville, TN 37043-4603 | 2007-05-25 |
| 1508818311 | Ramon Jongo Aquino | General Practice | 351 Dover Rd, Clarksville, TN 37042-4144 | 2006-05-17 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
Please comment or provide details below to improve the information on AFC PHYSICIANS OF TENNESSEE, PC.
| 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.