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ELK VALLEY MEDICAL CLINIC, LLC
NPI 1205356813
Clinic/Center - Primary Care in Fayetteville, TN

Active since June 23, 2017
305 COLLEGE ST W, FAYETTEVILLE, TN 37334(931) 619-3243(888) 696-1054 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Elk Valley Medical Clinic, Llc NPPES

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

ELK VALLEY MEDICAL CLINIC, LLC (NPI 1205356813) is a healthcare organization registered as a primary care in Fayetteville, Tennessee and active in the NPI registry since June 2017. The organization lists Karissa Lee Krishnan, Owner / Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1205356813
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameELK VALLEY MEDICAL CLINIC, LLC
Location Address305 COLLEGE ST WFayetteville, TN 37334-2911
Mailing Address305 College St WFayetteville, TN 37334-2911 · (931) 297-4525 · Fax (888) 696-1054
Phone(931) 619-3243
Fax(888) 696-1054
Organization SubpartNo
Authorized OfficialKarissa Lee KrishnanOwner / Practice Manager · (931) 619-3243
Enumeration DateJune 23, 2017
Last NPPES UpdateJanuary 23, 2018
✔ NPI 1205356813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
305 COLLEGE ST W, Fayetteville, TN 37334
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Other Providers at the Same Location NPPES 6

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

FAYETTEVILLE MEDICAL CLINIC & URGENT CARE
Family Medicine
305 COLLEGE ST W
FAYETTEVILLE, TN 37334
Lincoln County (931) 532-0523
DOCTOR MIKE LLC
Family Medicine
305 COLLEGE ST W
FAYETTEVILLE, TN 37334
Lincoln County (931) 227-4984
DR. RUDY THEODORE COBB M.D.
Surgery
305 COLLEGE ST W
FAYETTEVILLE, TN 37334
Lincoln County (931) 433-2488
DR. MICHAEL P LOIACONO MD
Family Medicine
305 COLLEGE ST W
FAYETTEVILLE, TN 37334
Lincoln County (931) 297-2222
SARAH MOON THELEN MD PLLC
Family Medicine
305 COLLEGE ST W
FAYETTEVILLE, TN 37334
Lincoln County (931) 227-4984
DR. SARAH MOON THELEN MD
Family Medicine
305 COLLEGE ST W
FAYETTEVILLE, TN 37334
Lincoln County (931) 227-4984

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 Elk Valley Medical Clinic, LLC's NPI number?

The NPI number for Elk Valley Medical Clinic, LLC is 1205356813. It was assigned to this organization in the NPPES registry on June 23, 2017.

Where is Elk Valley Medical Clinic, LLC located?

Elk Valley Medical Clinic, LLC is located at 305 College St W, Fayetteville, TN 37334. The listed phone number is (931) 619-3243.

What is Elk Valley Medical Clinic, LLC'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 Elk Valley Medical Clinic, LLC was last updated on January 23, 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.