BANYAN FAMILY NIGHT CLINIC, LLC
NPI 1205318557
Nurse Practitioner - Family in Cleveland, TN

Q: What is Banyan Family Night Clinic, LLC's NPI number?

The NPI number for Banyan Family Night Clinic, LLC is 1205318557. It was assigned to this organization in the NPPES registry on September 4, 2018.

Q: What is Banyan Family Night Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 04, 2018

276B JAMES ASBURY DR NW, CLEVELAND, TN 37312(423) 464-5776(423) 464-5665 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Banyan Family Night Clinic, Llc NPPES

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

BANYAN FAMILY NIGHT CLINIC, LLC (NPI 1205318557) is a healthcare organization registered as a family in Cleveland, Tennessee and active in the NPI registry since September 2018. The organization lists Tammy Wingo-salmond, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1205318557

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameBANYAN FAMILY NIGHT CLINIC, LLC

Location Address276B JAMES ASBURY DR NWCleveland, TN 37312-2984

Mailing Address276b James Asbury Dr NwCleveland, TN 37312-2984 · (423) 464-5776 · Fax (423) 464-5665

Phone(423) 464-5776

Fax(423) 464-5665

Organization SubpartNo

Authorized OfficialTammy Wingo-salmondProvider/owner · (423) 284-3157

Enumeration DateSeptember 4, 2018

✔ NPI 1205318557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

276B JAMES ASBURY DR NW, Cleveland, TN 37312

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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

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 Banyan Family Night Clinic, LLC's NPI number?

The NPI number for Banyan Family Night Clinic, LLC is 1205318557. It was assigned to this organization in the NPPES registry on September 4, 2018.

Where is Banyan Family Night Clinic, LLC located?

Banyan Family Night Clinic, LLC is located at 276B James Asbury Dr NW, Cleveland, TN 37312. The listed phone number is (423) 464-5776.

What is Banyan Family Night Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Banyan Family Night Clinic, LLC was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.