WEST TENNESSEE CARDIOVASCULAR CLINIC
NPI 1013112457
Internal Medicine - Cardiovascular Disease in Jackson, TN

Active since June 17, 2007
162 MURRAY GUARD DR, SUITE A, JACKSON, TN 38305(731) 256-1819(731) 664-4330 Get Directions Write a Review

NPPES record last updated: August 1, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Tennessee Cardiovascular Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST TENNESSEE CARDIOVASCULAR CLINIC (NPI 1013112457) is a healthcare organization registered as a cardiovascular disease in Jackson, Tennessee and active in the NPI registry since June 2007. The organization lists Adeyinka Adebayo Agbetoyin, President, as its authorized official.

NPPES Registry Identity

NPI1013112457
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameTHE CARDIOVASCULAR CLINIC OF WEST TENNESSEE,P.C.
Location Address162 MURRAY GUARD DR, SUITE AJackson, TN 38305-3609
Mailing Address38 Dovecrest CvJackson, TN 38305-6908 · (731) 256-1819 · Fax (731) 664-4330
Fax(731) 664-4330
Organization SubpartNo
Authorized OfficialAdeyinka Adebayo AgbetoyinPresident · (731) 256-1819
Enumeration DateJune 17, 2007
Last NPPES UpdateAugust 1, 2007
NPI 1013112457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TN · 36918
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
162 MURRAY GUARD DR, Jackson, TN 38305

Other Names 1

Doing Business AsWest Tennessee Cardiovascular Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
162 MURRAY GUARD DR, SUITE B
JACKSON, TN 38305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Cardiovascular Clinic Of West Tennessee,p.C.'s NPI number?

The NPI number for The Cardiovascular Clinic Of West Tennessee,p.C. is 1013112457. It was assigned to this organization in the NPPES registry on June 17, 2007. The provider is doing business as West Tennessee Cardiovascular Clinic.

Where is The Cardiovascular Clinic Of West Tennessee,p.C. located?

The Cardiovascular Clinic Of West Tennessee,p.C. is located at 162 Murray Guard Dr Suite A, Jackson, TN 38305. The listed phone number is (731) 256-1819.

What is The Cardiovascular Clinic Of West Tennessee,p.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for The Cardiovascular Clinic Of West Tennessee,p.C. was last updated on August 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.