CLINIC AT SELMER PC NPI 1265822027

NPI Information

  • NPI: 1265822027
  • Provider Name: CLINIC AT SELMER, PC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 714 FEDERAL DR
    SELMER, TN
    ZIP 38375
  • Phone: (731) 645-7952

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NPI Details

CLINIC AT SELMER, PC is a primary care nurse practitioner in Selmer, TN. CLINIC AT SELMER, PC NPI is 1265822027. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

714 FEDERAL DR
SELMER, TN
ZIP 38375-876
Phone: (731) 645-7952
Fax: (731) 645-8898

The provider's authorized official is Mohammed Said Bakeer .
The authorized official title is Owner and has the following contact phone number (731) 645-7952.

The enumeration date for this NPI number is 2/2/2015 and was last updated on 8/12/2015.

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 License Number License State Primary
1174400000XSpecialistMD0000015732TENNESSEENo
2363L00000XNurse PractitionerAPN0000019130TENNESSEENo
3363LP2300XNurse PractitionerPrimary CareAPN0000019129TENNESSEEYes

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
11780671255OTHERTENNESSEENPI
23010022MEDICAIDTENNESSEE
33010022MEDICARE PINTENNESSEE
4A97424MEDICARE UPINTENNESSEE

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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