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CLARK FAMILY PRACTICE, PLLC
NPI 1396250155
Clinic/Center - Primary Care in Nashville, TN

Active since December 02, 2017
3443 DICKERSON PIKE STE 660, NASHVILLE, TN 37207(615) 988-1109(949) 798-7514 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2018, Dec 2, 2017 (2 updates tracked since 2017).

About Clark Family Practice, Pllc NPPES

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

CLARK FAMILY PRACTICE, PLLC (NPI 1396250155) is a healthcare organization registered as a primary care in Nashville, Tennessee and active in the NPI registry since December 2017. The organization lists Russell Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1396250155
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLARK FAMILY PRACTICE, PLLC
Location Address3443 DICKERSON PIKE STE 660Nashville, TN 37207-2519
Mailing Address3443 Dickerson Pike Ste 660Nashville, TN 37207-2519 · (615) 988-1109 · Fax (949) 798-7514
Phone(615) 988-1109
Fax(949) 798-7514
Organization SubpartNo
Authorized OfficialRussell ClarkOwner · (615) 988-1109
Enumeration DateDecember 2, 2017
Last NPPES UpdateApril 26, 20182 updates tracked since enumeration
✔ NPI 1396250155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TN · 20179
3443 DICKERSON PIKE STE 660, Nashville, TN 37207
Open in Google Maps ↗

Other Identifiers 1

MedicaidQ034840TN

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Clark Family Practice PLLC carries, from the Medicare DMEPOS supplier directory.

Clark Family Practice PLLC

DMEPOS supplier · Nashville, TN
✔

Accepts Medicare assignment

Clark Family Practice PLLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20456633
Medicare Participant SinceJanuary 17, 2018
Supplier Location3443 Dickerson Pike Ste 660Nashville, TN 37207
Phone(615) 988-1109
Provider TypeNurse Practitioner
Supplier Specialties
Orthotic Personnel

Medicare Product Categories

Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Neurostimulators and/or Supplies
Rechargable neurostimulators, Non-rechargable neurostimulators
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

MR. RUSSELL L CLARK FNP-C
Nurse Practitioner (Family)
3443 DICKERSON PIKE STE 660
NASHVILLE, TN 37207
Davidson County (615) 988-1109
CLARK FAMILY MEDICAL PRACTICE, PLLC
Nurse Practitioner (Family)
3443 DICKERSON PIKE STE 660
NASHVILLE, TN 37207
Davidson County (615) 988-1109

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 Clark Family Practice, PLLC's NPI number?

The NPI number for Clark Family Practice, PLLC is 1396250155. It was assigned to this organization in the NPPES registry on December 2, 2017.

Where is Clark Family Practice, PLLC located?

Clark Family Practice, PLLC is located at 3443 Dickerson Pike Ste 660, Nashville, TN 37207. The listed phone number is (615) 988-1109.

What is Clark Family Practice, PLLC's specialty?

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

Does Clark Family Practice, PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Clark Family Practice PLLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Clark Family Practice, PLLC was last updated on April 26, 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.