DEANNA ELSEA M.D. NPI 1356436398

NPI Information

  • NPI: 1356436398
  • Provider Name: DEANNA ELSEA, M.D.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: SOMERVILLE MEDICAL CLINIC
  • Address: 213 LAKEVIEW RD
    213 LAKEVIEW RD
    SOMERVILLE, TN
    ZIP 38068
  • Phone: (901) 465-5466

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NPI Details

DEANNA ELSEA, M.D. is a primary care clinic center in Somerville, TN. DEANNA ELSEA, M.D. NPI is 1356436398. The provider is registered as an organization entity type.
The provider Is Doing Business As Somerville Medical Clinic.

The provider's business location address is:

213 LAKEVIEW RD
213 LAKEVIEW RD
SOMERVILLE, TN
ZIP 38068-744
Phone: (901) 465-5466
Fax: (901) 465-9048

The provider's authorized official is Deanna S Elsea .
The authorized official title is Owner and has the following contact phone number (901) 465-5466.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 3/18/2008.

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
1261QP2300XClinic/CenterPrimary CareMD0000031550TENNESSEEYes

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
13733134MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEMEDICARE
2G99227MEDICARE UPINTENNESSEE
33733134MEDICAIDTENNESSEE

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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