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SOUTHCREST CLINIC P. C. NPI 1821296088


NPI Information

NPI: 1821296088
Provider Name: SOUTHCREST CLINIC, P. C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
3413 NOLENSVILLE PIKE
SUITE A
NASHVILLE, TN
ZIP 37211
Phone: (615) 333-8383
Get Directions

SOUTHCREST CLINIC, P. C. is an internal medicine in Nashville, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SOUTHCREST CLINIC, P. C. NPI is 1821296088. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3413 NOLENSVILLE PIKE
SUITE A
NASHVILLE, TN
ZIP 37211-911
Phone: (615) 333-8383
Fax: (615) 333-1660

The provider's authorized official is Kay Son .
The authorized official title is President and has the following contact phone number (615) 333-8383.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 8/30/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineMD 38730TENNESSEENo
2207RA0401XInternal MedicineAddiction MedicineMD 11290TENNESSEENo
3207QA0000XFamily MedicineAdolescent MedicineMD42852TENNESSEENo
4207QA0401XFamily MedicineAddiction MedicineMD42852TENNESSEENo
5207QA0505XFamily MedicineAdult MedicineMD42852TENNESSEENo
6332B00000XDurable Medical Equipment & Medical Supplies6193390001TENNESSEENo
7207QA0000XFamily MedicineAdolescent Medicine38730TENNESSEENo
8208VP0014XPain MedicineInterventional Pain MedicineMD11290TENNESSEENo
9207R00000XInternal MedicineMD 11290TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13730247MEDICARE PINTENNESSEE
26193390001MEDICARE NSCTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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