ADVANCE CARE MEDICAL CLARKSVILLE TN
NPI 1164094819
Clinic/Center - Primary Care in Clarksville, TN

Q: What is Advance Care Medical Pcp Tennessee's NPI number?

The NPI number for Advance Care Medical Pcp Tennessee is 1164094819. It was assigned to this organization in the NPPES registry on July 13, 2021. The provider is doing business as Advance Care Medical Clarksville Tn.

Q: What is Advance Care Medical Pcp Tennessee's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since July 13, 2021

1469 TINY TOWN RD, CLARKSVILLE, TN 37042(516) 801-1552 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2022, Mar 8, 2022, Feb 11, 2022 and 1 more (4 updates tracked since 2021).

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About Advance Care Medical Clarksville Tn NPPES

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

ADVANCE CARE MEDICAL CLARKSVILLE TN (NPI 1164094819) is a healthcare organization registered as a primary care in Clarksville, Tennessee and active in the NPI registry since July 2021. The organization lists Douglas Millar, Senior Advisor, as its authorized official.

NPPES Registry Identity

NPI1164094819

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameADVANCE CARE MEDICAL PCP TENNESSEE

Location Address1469 TINY TOWN RDClarksville, TN 37042-7202

Mailing Address3 School St Ste 303Glen Cove, NY 11542-2548 · (516) 801-1552

Phone(516) 801-1552

Organization SubpartNo

Authorized OfficialDouglas MillarSenior Advisor · (917) 673-6321

Enumeration DateJuly 13, 2021

Last NPPES UpdateMay 11, 20224 updates tracked since enumeration

NPPES CertifiedMay 11, 2022

✔ NPI 1164094819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1469 TINY TOWN RD, Clarksville, TN 37042

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Other Names 1

Doing Business AsAdvance Care Medical Clarksville Tn

Other Providers at the Same Location NPPES 2

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

ADVANCE CARE MEDICAL TENNESSEE, INC.

Clinic/Center (Urgent Care)

1469 TINY TOWN RD
CLARKSVILLE, TN 37042

Montgomery County (931) 343-3347

KRISTEN R DORTCH-FARMER PHYSICIAN ASSISTANT

Physician Assistant (Medical)

1469 TINY TOWN RD
CLARKSVILLE, TN 37042

Montgomery County (931) 343-3347

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 Advance Care Medical Pcp Tennessee's NPI number?

The NPI number for Advance Care Medical Pcp Tennessee is 1164094819. It was assigned to this organization in the NPPES registry on July 13, 2021. The provider is doing business as Advance Care Medical Clarksville Tn.

Where is Advance Care Medical Pcp Tennessee located?

Advance Care Medical Pcp Tennessee is located at 1469 Tiny Town Rd, Clarksville, TN 37042. The listed phone number is (516) 801-1552.

What is Advance Care Medical Pcp Tennessee's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Advance Care Medical Pcp Tennessee was last updated on May 11, 2022. 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.