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DR. CLAY ARLEN RENFRO MD NPI 1477520732


NPI Information

NPI: 1477520732
Provider Name: DR. CLAY ARLEN RENFRO, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
219 PRINCETON ROAD
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 975-2200
Get Directions

DR. Clay Arlen Renfro, MD is a family medicine in Johnson City, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Clay Arlen Renfro, MD NPI is 1477520732. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

219 PRINCETON ROAD
JOHNSON CITY, TN
ZIP 37601-062
Phone: (423) 975-2200
Fax: (423) 975-2210

The enumeration date for this NPI number is 3/7/2006 and was last updated on 10/25/2011.


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
1207Q00000XFamily Medicine4340TENNESSEEYes

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
1P00294810OTHERRAILROAD MEDICARE
2B01261MEDICARE UPIN
33123766MEDICARE ID-TYPE UNSPECIFIED
44122287OTHERTENNESSEEBCBST
53703865MEDICARE PIN
63123766MEDICAIDTENNESSEE
73703862MEDICARE PIN
83123767MEDICARE PIN
9P00294810MEDICARE PIN
104122287OTHERTENNESSEEBLUE CROSS BLUE SHIELD

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.