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MARVEL CLINIC P.C.
NPI 1760487086
Specialist in Tullahoma, TN

Active since June 14, 2005CLIA 44D0309776 · Waiver
1821 N WASHINGTON ST, TULLAHOMA, TN 37388(931) 455-2005(931) 455-4450 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marvel Clinic P.c. NPPES

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

MARVEL CLINIC P.C. (NPI 1760487086) is a healthcare organization registered as a specialist in Tullahoma, Tennessee and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through September 2, 2026 and lists Tracy Dawn Wilkins, Credentialing Facilitator, as its authorized official.

NPPES Registry Identity

NPI1760487086
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMARVEL CLINIC P.C.
Location Address1821 N WASHINGTON STTullahoma, TN 37388-2221
Mailing Address1821 N Washington StTullahoma, TN 37388-2221 · (931) 455-2005 · Fax (931) 455-4450
Phone(931) 455-2005
Fax(931) 455-4450
Organization SubpartNo
Authorized OfficialTracy Dawn WilkinsCredentialing Facilitator · (931) 461-5056
Enumeration DateJune 14, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760487086 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.
1821 N WASHINGTON ST, Tullahoma, TN 37388
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0309776

Marvel Clinic PC · Tullahoma, TN
Active · expires Sep 2, 2026
CLIA Number44D0309776
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateSeptember 2, 2026
Laboratory DirectorJeffery Marvel MD
Laboratory Phone(931) 455-2005
Laboratory LocationMarvel Clinic PC1821 North Washington Street, Tullahoma, TN 37388
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

LONNIE SCHOLL PA-C
Physician Assistant
1821 N WASHINGTON ST
TULLAHOMA, TN 37388
Coffee County (931) 455-2005
PATTY M MARVEL M.D.
Specialist
1821 N WASHINGTON ST
TULLAHOMA, TN 37388
Coffee County (931) 455-2005
ASCENT ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
1821 N WASHINGTON ST
TULLAHOMA, TN 37388
Coffee County (423) 899-9080
DR. PHILLIP SEAN CARROLL DPT
Physical Therapist
1821 N WASHINGTON ST
TULLAHOMA, TN 37388
Coffee County (931) 222-4454
INTEGRATED FACIAL AESTHETICS, PLLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1821 N WASHINGTON ST
TULLAHOMA, TN 37388
Coffee County (931) 455-2005
JEFFREY BLAINE MARVEL M.D.
Otolaryngology
1821 N WASHINGTON ST
TULLAHOMA, TN 37388
Coffee County (931) 455-2005
DR. MARSHALL R LAPLATA DO
Anesthesiology
1821 N WASHINGTON ST
TULLAHOMA, TN 37388
Coffee County (931) 455-2005
CENTER FOR DAY SURGERY
Clinic/Center (Ambulatory Surgical)
1821 N WASHINGTON ST
TULLAHOMA, TN 37388
Coffee County (931) 455-2005

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 Marvel Clinic P.C.'s NPI number?

The NPI number for Marvel Clinic P.C. is 1760487086. It was assigned to this organization in the NPPES registry on June 14, 2005.

Where is Marvel Clinic P.C. located?

Marvel Clinic P.C. is located at 1821 N Washington St, Tullahoma, TN 37388. The listed phone number is (931) 455-2005.

What is Marvel Clinic P.C.'s specialty?

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

Does Marvel Clinic P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0309776) is associated with this NPI, valid through September 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marvel Clinic P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.