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PRIVIA MEDICAL GROUP TENNESSEE LLC NPI 1962160119


NPI Information

NPI: 1962160119
Provider Name: PRIVIA MEDICAL GROUP TENNESSEE LLC

Doing Business As: SPORTS ORTHO URGENT CARE

Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
1492 TINY TOWN RD STE A2
CLARKSVILLE, TN
ZIP 37042
Phone: (571) 982-6636
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PRIVIA MEDICAL GROUP TENNESSEE LLC is a sports medicine orthopaedic surgery in Clarksville, TN. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. PRIVIA MEDICAL GROUP TENNESSEE LLC NPI is 1962160119. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sports Ortho Urgent Care.

The provider's business location address is:

1492 TINY TOWN RD STE A2
CLARKSVILLE, TN
ZIP 37042-874
Phone: (571) 982-6636

The provider's authorized official is Jeannette Wood .
The authorized official title is Vp Revenue Cycle Management and has the following contact phone number (301) 672-2645.

The enumeration date for this NPI number is 12/6/2021 and was last updated on 3/1/2022.


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
1207XX0005XOrthopaedic SurgerySports MedicineYes

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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