EAST WOOD CLINIC PLLC
NPI 1073606778
Family Medicine in Paris, TN

Active since October 02, 2006CLIA 44D1048585 · Waiver
1323 EAST WOOD STREET, PARIS, TN 38242(731) 642-2011(731) 644-2758 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About East Wood Clinic Pllc NPPES

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

EAST WOOD CLINIC PLLC (NPI 1073606778) is a healthcare organization registered as a family medicine in Paris, Tennessee and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Joshua David Roberts, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073606778
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST WOOD CLINIC PLLC
Location Address1323 EAST WOOD STREETParis, TN 38242-4421
Mailing Address1323 East Wood StreetParis, TN 38242-4421 · (731) 642-2011 · Fax (731) 644-2758
Fax(731) 644-2758
Organization SubpartNo
Authorized OfficialJoshua David RobertsAdministrator · (731) 641-8728
Enumeration DateOctober 2, 2006
Last NPPES UpdateOctober 8, 20212 updates tracked since enumeration
NPPES CertifiedOctober 8, 2021
NPI 1073606778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
1323 EAST WOOD STREET, Paris, TN 38242

Other Identifiers 1

Medicaid3731888TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1048585

East Wood Clinic PLLC · Paris, TN
Active · expires May 31, 2028
CLIA Number44D1048585
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorDr. Philip W. Nanney
Laboratory Phone(731) 642-2011
Laboratory LocationEast Wood Clinic PLLC1323 East Wood Street, Paris, TN 38242
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Internal Medicine
1323 EAST WOOD STREET
PARIS, TN 38242
Family Medicine
1323 EAST WOOD STREET
PARIS, TN 38242
Family Medicine
1323 EAST WOOD STREET
PARIS, TN 38242
Internal Medicine
1323 EAST WOOD STREET
PARIS, TN 38242
Pediatrics
1323 EAST WOOD STREET, EAST WOOD CLINIC
PARIS, TN 38242
Internal Medicine
1323 EAST WOOD STREET
PARIS, TN 38242
Podiatrist
1323 EAST WOOD STREET
PARIS, TN 38242
Family Medicine
1323 EAST WOOD STREET
PARIS, TN 38242

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 East Wood Clinic PLLC's NPI number?

The NPI number for East Wood Clinic PLLC is 1073606778. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is East Wood Clinic PLLC located?

East Wood Clinic PLLC is located at 1323 East Wood Street, Paris, TN 38242. The listed phone number is (731) 642-2011.

What is East Wood Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does East Wood Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1048585) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does East Wood Clinic PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list East Wood Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Wood Clinic PLLC was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.