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CLEARWATER INVESTMENTS INC BYRDSTOWN MEDICAL
NPI 1679583801
Family Medicine in Byrdstown, TN

Active since August 09, 2006
8401 HWY 111, BYRDSTOWN, TN 38549(931) 864-3187(931) 864-7102 Get Directions Write a Review

NPPES record last updated: February 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2024, May 22, 2023, Jul 9, 2018 (3 updates tracked since 2018).

About Clearwater Investments Inc Byrdstown Medical NPPES

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

CLEARWATER INVESTMENTS INC BYRDSTOWN MEDICAL (NPI 1679583801), doing business as Mason Farms Byrdstown Medical Center, is a healthcare organization registered as a family medicine in Byrdstown, Tennessee and active in the NPI registry since August 2006. The organization lists Deedee Johnson, Credentialing / Systems Admin, as its authorized official.

NPPES Registry Identity

NPI1679583801
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLEARWATER INVESTMENTS INC BYRDSTOWN MEDICAL
Location Address8401 HWY 111Byrdstown, TN 38549-1006
Mailing Address8401 Hwy 111Byrdstown, TN 38549-1006 · (931) 864-3187 · Fax (931) 864-7102
Phone(931) 864-3187
Fax(931) 864-7102
Organization SubpartNo
Authorized OfficialDeedee JohnsonCredentialing / Systems Admin · (931) 864-3187
Enumeration DateAugust 9, 2006
Last NPPES UpdateFebruary 11, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2024
✔ NPI 1679583801 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.
8401 HWY 111, Byrdstown, TN 38549
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Other Names 3

Former Legal Business NameMason Farms Byrdstown Medical Center
Doing Business AsByrdstown Medical
Former Legal Business NameByrdstown Medical Center, Pllc

Other Identifiers 1

Medicaid3714746TN

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 4

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

BROOKE ANN DOWDY FNP-C
Nurse Practitioner (Family)
8401 HWY 111
BYRDSTOWN, TN 38549
Pickett County (931) 864-3187
MR. JEFFREY CHASE YOUNG PA-C
Physician Assistant
8401 HWY 111
BYRDSTOWN, TN 38549
Pickett County (931) 864-3187
WHITE BUFFALO HEALTH, PLLC
Family Medicine
8401 HWY 111
BYRDSTOWN, TN 38549
Pickett County (931) 864-2462
DANIELLE GOOLSBY FNP-C
Nurse Practitioner (Family)
8401 HWY 111
BYRDSTOWN, TN 38549
Pickett County (931) 864-3187

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 Clearwater Investments Inc Byrdstown Medical's NPI number?

The NPI number for Clearwater Investments Inc Byrdstown Medical is 1679583801. It was assigned to this organization in the NPPES registry on August 9, 2006. The provider is doing business as Byrdstown Medical. The provider was formerly known as Mason Farms Byrdstown Medical Center and Byrdstown Medical Center, PLLC.

Where is Clearwater Investments Inc Byrdstown Medical located?

Clearwater Investments Inc Byrdstown Medical is located at 8401 Hwy 111, Byrdstown, TN 38549. The listed phone number is (931) 864-3187.

What is Clearwater Investments Inc Byrdstown Medical'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 Clearwater Investments Inc Byrdstown Medical was last updated on February 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.