CLARKSVILLE PHYSICIAN SERVICES LLC
NPI 1083657829
General Practice in Clarksville, TN
About Clarksville Physician Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARKSVILLE PHYSICIAN SERVICES LLC (NPI 1083657829), doing business as Vanderbilt Physician Services Clarksville, is a healthcare organization registered as a general practice in Clarksville, Tennessee and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 28, 2027, maintains a secondary practice location in Clarksville, and lists Wendy Monaci, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 11
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clarksville Physician Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
29Medicare enrollment records show 29 clinicians reassign Medicare billing to Clarksville Physician Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 29Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 44D2045578
Clarksville Physician Services LLC Dba Vanderbilt Urology Clarksville · Clarksville, TNFrequently 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 Clarksville Physician Services LLC's NPI number?
The NPI number for Clarksville Physician Services LLC is 1083657829. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider is doing business as Vanderbilt Physician Services Clarksville.
Where is Clarksville Physician Services LLC located?
Clarksville Physician Services LLC is located at 651 Dunlop Ln, Clarksville, TN 37040. The listed phone number is (931) 502-5080.
What is Clarksville Physician Services LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Clarksville Physician Services LLC enrolled in Medicare?
Yes. Clarksville Physician Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clarksville Physician Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 12 Medicare specialties reassign their Medicare billing to Clarksville Physician Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), General Surgery (6) and Family Practice (2). Of these, 1 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Clarksville Physician Services LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2045578) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Clarksville Physician Services LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Clarksville Physician Services LLC 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 Clarksville Physician Services LLC was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Clarksville Physician Services Llc · NPI 1083657829
General Practice organization in Clarksville, Tennessee. Organization record, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1083657829 (Entity type: Organization)
- **Enumerated:** June 13, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** Vanderbilt Physician Services Clarksville (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Wendy Monaci, VICE PRESIDENT
## Practice location
- **Address:** 651 DUNLOP LN, Clarksville, TN 37040-5015
- **Phone:** (931) 502-5080 · **Fax:** (931) 502-5081
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 29 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), General Surgery (6), Family Practice (2); 1 practice at this address and 19 within 10 miles; [full list](https://npiprofile.com/npi/1083657829/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2026
- **Other identifiers:** Medicaid 37330061 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083657829) · Data from the CMS NPPES public registry.