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MOBILE MEDICAL CLINIC PLLC
NPI 1275567125
Physician Assistant in Lebanon, TN

Active since July 10, 2006
404 CASTLE HEIGHTS AVE N, SUITE E, LEBANON, TN 37087(615) 449-7002 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mobile Medical Clinic Pllc NPPES

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

MOBILE MEDICAL CLINIC PLLC (NPI 1275567125) is a healthcare organization registered as a physician assistant in Lebanon, Tennessee and active in the NPI registry since July 2006. The organization lists Craig E Dean, Owner, as its authorized official.

NPPES Registry Identity

NPI1275567125
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMOBILE MEDICAL CLINIC PLLC
Location Address404 CASTLE HEIGHTS AVE N, SUITE ELebanon, TN 37087-1511
Mailing AddressPo Box 158Lebanon, TN 37088-0158 · (615) 449-7002
Phone(615) 449-7002
Organization SubpartNo
Authorized OfficialCraig E DeanOwner · (615) 449-7002
Enumeration DateJuly 10, 2006
Last NPPES UpdateApril 17, 2008
✔ NPI 1275567125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
404 CASTLE HEIGHTS AVE N, Lebanon, TN 37087
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Other Identifiers 2

Medicare PIN3907834TN
Medicaid3907834TN

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

Other Providers at the Same Location NPPES

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

TAMMY COLLINS MD PC
Internal Medicine
404 CASTLE HEIGHTS AVE N, SUITE F
LEBANON, TN 37087
Wilson County (615) 443-7990

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 Mobile Medical Clinic PLLC's NPI number?

The NPI number for Mobile Medical Clinic PLLC is 1275567125. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Mobile Medical Clinic PLLC located?

Mobile Medical Clinic PLLC is located at 404 Castle Heights Ave N Suite E, Lebanon, TN 37087. The listed phone number is (615) 449-7002.

What is Mobile Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mobile Medical Clinic PLLC was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.