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CLARKSVILLE INTERNAL MEDICINE, PLC
NPI 1922256783
Internal Medicine in Clarksville, TN

Active since September 05, 2008CLIA 44D1048645 · Waiver
111 CENTER POINTE DR, SUITE 1, CLARKSVILLE, TN 37040(931) 648-7615(931) 648-7616 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clarksville Internal Medicine, Plc NPPES

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

CLARKSVILLE INTERNAL MEDICINE, PLC (NPI 1922256783) is a healthcare organization registered as an internal medicine in Clarksville, Tennessee and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists Bharatkumar R Patel, President, as its authorized official.

NPPES Registry Identity

NPI1922256783
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCLARKSVILLE INTERNAL MEDICINE, PLC
Location Address111 CENTER POINTE DR, SUITE 1Clarksville, TN 37040-8682
Mailing Address111 Center Pointe Dr, Suite 1Clarksville, TN 37040-8682 · (931) 648-7615 · Fax (931) 648-7616
Phone(931) 648-7615
Fax(931) 648-7616
Organization SubpartNo
Authorized OfficialBharatkumar R PatelPresident · (931) 648-7615
Enumeration DateSeptember 5, 2008
Last NPPES UpdateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1922256783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 26865
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
111 CENTER POINTE DR, Clarksville, TN 37040
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Other Identifiers 1

Medicaid3096435TN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarksville Internal Medicine, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Clarksville Internal Medicine, Plc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Mychele Lannom, NP
Nurse Practitioner
NPI 1881137735
111 CENTER POINTE DR
Clarksville, TN 37040
(931) 648-7615
✔ PECOSSame address
Gina Longo, MSN FNP
Nurse Practitioner
NPI 1417188707
111 CENTER POINTE DR SUITE 1
Clarksville, TN 37040
(931) 648-7615
✔ PECOS✔ Accepts MedicareSame address
Krista Moss, APRN, FNP-BC
Nurse Practitioner
NPI 1811848286
111 CENTER POINTE DR
Clarksville, TN 37040
(931) 648-7615
✔ PECOS✔ Accepts MedicareSame address
Bharatkumar Patel, MD
Internal Medicine
NPI 1558342097
111 CENTER POINTE DR SUITE 1
Clarksville, TN 37040
(931) 648-7615
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 44D1048645

Clarksville Internal Medicine Plc · Clarksville, TN
Active · expires Dec 6, 2027
CLIA Number44D1048645
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorBharatkumar Patel MD
Laboratory Phone(931) 648-7615
Laboratory LocationClarksville Internal Medicine Plc111 Center Pointe Drive Suite 1, Clarksville, TN 37040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Clarksville Internal Medicine, Plc's NPI number?

The NPI number for Clarksville Internal Medicine, Plc is 1922256783. It was assigned to this organization in the NPPES registry on September 5, 2008.

Where is Clarksville Internal Medicine, Plc located?

Clarksville Internal Medicine, Plc is located at 111 Center Pointe Dr Suite 1, Clarksville, TN 37040. The listed phone number is (931) 648-7615.

What is Clarksville Internal Medicine, Plc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Clarksville Internal Medicine, Plc enrolled in Medicare?

Yes. Clarksville Internal Medicine, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clarksville Internal Medicine, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Clarksville Internal Medicine, Plc. 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 Nurse Practitioner (3) and Internal Medicine (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clarksville Internal Medicine, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1048645) is associated with this NPI, valid through December 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clarksville Internal Medicine, Plc accept?

Health plans from Cigna Healthcare list Clarksville Internal Medicine, Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clarksville Internal Medicine, Plc was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.