AFC PHYSICIANS OF TENNESSEE, PC
NPI 1639508666
General Practice in Clarksville, TN
About Afc Physicians Of Tennessee, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AFC PHYSICIANS OF TENNESSEE, PC (NPI 1639508666) is a healthcare organization registered as a general practice in Clarksville, Tennessee and active in the NPI registry since November 2013. The organization lists Randy Johansen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Afc Physicians Of Tennessee, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
90Medicare enrollment records show 90 clinicians reassign Medicare billing to AFC Physicians Of Tennessee, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 90Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 AFC Physicians Of Tennessee, PC's NPI number?
The NPI number for AFC Physicians Of Tennessee, PC is 1639508666. It was assigned to this organization in the NPPES registry on November 12, 2013.
Where is AFC Physicians Of Tennessee, PC located?
AFC Physicians Of Tennessee, PC is located at 1763 Madison Street Commons, Clarksville, TN 37043. The listed phone number is (931) 278-8000.
What is AFC Physicians Of Tennessee, PC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is AFC Physicians Of Tennessee, PC enrolled in Medicare?
Yes. AFC Physicians Of Tennessee, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through AFC Physicians Of Tennessee, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 9 Medicare specialties reassign their Medicare billing to AFC Physicians Of Tennessee, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (35), Nurse Practitioner (30) and Internal Medicine (10). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for AFC Physicians Of Tennessee, PC was last updated on June 12, 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.
# Afc Physicians Of Tennessee, Pc · NPI 1639508666
General Practice organization in Clarksville, Tennessee. Organization record, active in the CMS NPPES registry since November 12, 2013.
## Identity
- **NPI:** 1639508666 (Entity type: Organization)
- **Enumerated:** November 12, 2013
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** Yes (part of Afc Physicians Of Tennessee, Pc)
- **Authorized official:** Randy Johansen, PRESIDENT
## Practice location
- **Address:** 1763 MADISON STREET COMMONS, Clarksville, TN 37043
- **Phone:** (931) 278-8000 · **Fax:** (931) 278-8004
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 90 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (35), Nurse Practitioner (30), Internal Medicine (10); 1 practice at this address and 2 within 10 miles; [full list](https://npiprofile.com/npi/1639508666/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2020
- **Other identifiers:** Other 103G702075 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1639508666) · Data from the CMS NPPES public registry.