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SOUTH MEDICAL CLINIC LLC
NPI 1275168817
Family Medicine in Lewisburg, TN

Active since March 04, 2020
118 2ND AVE SOUTH, LEWISBURG, TN 37091(931) 422-5029(931) 422-5229 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Medical Clinic Llc NPPES

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

SOUTH MEDICAL CLINIC LLC (NPI 1275168817) is a healthcare organization registered as a family medicine in Lewisburg, Tennessee and active in the NPI registry since March 2020. The organization lists Edith Ann Wiles, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1275168817
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH MEDICAL CLINIC LLC
Location Address118 2ND AVE SOUTHLewisburg, TN 37091
Mailing Address118 2nd Ave SouthLewisburg, TN 37091 · (931) 422-5029 · Fax (931) 422-5229
Phone(931) 422-5029
Fax(931) 422-5229
Organization SubpartNo
Authorized OfficialEdith Ann WilesOffice Manager · (931) 422-5029
Enumeration DateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
✔ NPI 1275168817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
118 2ND AVE SOUTH, Lewisburg, TN 37091
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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

Other Providers at the Same Location NPPES

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

MRS. SHONDA ELAINE TORMOHLEN FNP-C
Nurse Practitioner (Family)
118 2ND AVE SOUTH
LEWISBURG, TN 37091
Marshall County (931) 422-5029

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 South Medical Clinic LLC's NPI number?

The NPI number for South Medical Clinic LLC is 1275168817. It was assigned to this organization in the NPPES registry on March 4, 2020.

Where is South Medical Clinic LLC located?

South Medical Clinic LLC is located at 118 2nd Ave South, Lewisburg, TN 37091. The listed phone number is (931) 422-5029.

What is South Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for South Medical Clinic LLC was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.