CLARKSVILLE PHYSICIAN SERVICES LLC
NPI 1083657829
General Practice in Clarksville, TN

Active since June 13, 2006CLIA 44D2045578 · Waiver
651 DUNLOP LN, CLARKSVILLE, TN 37040(931) 502-5080(931) 502-5081 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2026, Jun 16, 2020 (2 updates tracked since 2020).

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

NPI1083657829
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCLARKSVILLE PHYSICIAN SERVICES LLC
Location Address651 DUNLOP LNClarksville, TN 37040-5015
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (470) 351-0247 · Fax (615) 875-8618
Fax(931) 502-5081
Organization SubpartNo
Authorized OfficialWendy MonaciVice President · (615) 343-9094
Enumeration DateJune 13, 2006
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1083657829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
651 DUNLOP LN, Clarksville, TN 37040

Other Names 1

Doing Business AsVanderbilt Physician Services Clarksville

Secondary Practice Location 1

Location 1647 Dunlop Ln Ste 203Clarksville, TN 37040-5165 · Phone (931) 502-3700 · Fax (931) 502-3705

Other Identifiers 1

Medicaid37330061TN

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 44D2045578

Clarksville Physician Services LLC Dba Vanderbilt Urology Clarksville · Clarksville, TN
Active · expires Feb 28, 2027
CLIA Number44D2045578
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorDr. Sean Mclaughlin
Laboratory Phone(931) 502-3836
Laboratory LocationClarksville Physician Services LLC Dba Vanderbilt Urology Clarksville647 Dunlop Lane, Suite 206, Clarksville, TN 37040
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
651 DUNLOP LN
CLARKSVILLE, TN 37040
Emergency Medicine
651 DUNLOP LN
CLARKSVILLE, TN 37040
Emergency Medicine
651 DUNLOP LN
CLARKSVILLE, TN 37040
Specialist
651 DUNLOP LN
CLARKSVILLE, TN 37040
Emergency Medicine
651 DUNLOP LN
CLARKSVILLE, TN 37040
Dietitian, Registered
651 DUNLOP LN
CLARKSVILLE, TN 37040
Nurse Practitioner (Acute Care)
651 DUNLOP LN
CLARKSVILLE, TN 37040
Emergency Medicine
651 DUNLOP LN
CLARKSVILLE, TN 37040

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 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.

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 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 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 with the weekly NPPES data releases published by CMS.