CLARKSVILLE PHYSICIAN SERVICES GP NPI 1083657829

NPI Information

NPI: 1083657829
Provider Name: CLARKSVILLE PHYSICIAN SERVICES GP
Classification: General Practice - 208D00000X
Entity Type: Organization
CLIA Number: 44D0306809
Address: 1020 MOORE RD
DOVER, TN
ZIP 37058
Phone: (931) 232-3905

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NPI Details

CLARKSVILLE PHYSICIAN SERVICES GP is a general practice in Dover, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CLARKSVILLE PHYSICIAN SERVICES GP NPI is 1083657829. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1020 MOORE RD
DOVER, TN
ZIP 37058-750
Phone: (931) 232-3905

The provider's authorized official is James P Wright .
The authorized official title is Vp Physician Business Services and has the following contact phone number (615) 778-1502.

The CLIA number assigned to this NPI record is 44D0306809 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 6/16/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	No
2	208600000X	Surgery		No
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		No
4	208M00000X	Hospitalist		No
5	363A00000X	Physician Assistant		No
6	363L00000X	Nurse Practitioner		No
7	208D00000X	General Practice		Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	37330061	MEDICAID	TENNESSEE

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: 11/21/2025

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