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THE CLEVELAND CLINIC OF TN, P.C.
NPI 1619189289
Specialist in Cleveland, TN

Active since May 04, 2007
55 BEN DR NW, CLEVELAND, TN 37311(423) 472-1991(423) 339-2321 Get Directions Write a Review

NPPES record last updated: March 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Cleveland Clinic Of Tn, P.c. NPPES

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

THE CLEVELAND CLINIC OF TN, P.C. (NPI 1619189289) is a healthcare organization registered as a specialist in Cleveland, Tennessee and active in the NPI registry since May 2007. The organization lists Kavin Johnson, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1619189289
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTHE CLEVELAND CLINIC OF TN, P.C.
Location Address55 BEN DR NWCleveland, TN 37311-3897
Mailing AddressPo Box 11052Chattanooga, TN 37401-2052 · (423) 472-1991 · Fax (423) 339-2321
Phone(423) 472-1991
Fax(423) 339-2321
Organization SubpartNo
Authorized OfficialKavin JohnsonPhysician Owner · (423) 472-1991
Enumeration DateMay 4, 2007
Last NPPES UpdateMarch 25, 2009
✔ NPI 1619189289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
55 BEN DR NW, Cleveland, TN 37311
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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 The Cleveland Clinic Of Tn, P.C.'s NPI number?

The NPI number for The Cleveland Clinic Of Tn, P.C. is 1619189289. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is The Cleveland Clinic Of Tn, P.C. located?

The Cleveland Clinic Of Tn, P.C. is located at 55 Ben Dr NW, Cleveland, TN 37311. The listed phone number is (423) 472-1991.

What is The Cleveland Clinic Of Tn, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for The Cleveland Clinic Of Tn, P.C. was last updated on March 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.