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SOMERVILLE MEDICAL CLINIC,INC
NPI 1972834414
Clinic/Center - Multi-Specialty in Somerville, TN

Active since January 22, 2010
213 LAKEVIEW RD, SOMERVILLE, TN 38068(901) 465-5466(901) 465-9048 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Somerville Medical Clinic,inc NPPES

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

SOMERVILLE MEDICAL CLINIC,INC (NPI 1972834414) is a healthcare organization registered as a multi-specialty in Somerville, Tennessee and active in the NPI registry since January 2010. The organization lists Raynor Shoaf, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1972834414
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSOMERVILLE MEDICAL CLINIC,INC
Location Address213 LAKEVIEW RDSomerville, TN 38068-9744
Mailing AddressPo Box 640Somerville, TN 38068-0640 · (901) 465-5466 · Fax (901) 465-9048
Phone(901) 465-5466
Fax(901) 465-9048
Organization SubpartNo
Authorized OfficialRaynor ShoafOffice Manager · (901) 465-5466
Enumeration DateJanuary 22, 2010
Last NPPES UpdateJanuary 20, 2011
✔ NPI 1972834414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
213 LAKEVIEW RD, Somerville, TN 38068
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Other Identifiers 6

Other1972834414TN · Somerville Medical Clinic,inc Npi
Medicaid1518107TN
Other1487748745TN · Dr. David Seaton Npi
Other4108029TN · Blue Cross Group
Other1437245792TN · Jamey Colston Fnp Npi
Other1629018981TN · Ashley Crawford Fnp Npi

Other Providers at the Same Location NPPES 3

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

DEANNA ELSEA, M.D.
Clinic/Center (Primary Care)
213 LAKEVIEW RD, 213 LAKEVIEW RD
SOMERVILLE, TN 38068
Fayette County (901) 465-5466
ENCORE HEALTH AND WELLNESS PLLC
Psychiatry & Neurology (Addiction Medicine)
213 LAKEVIEW RD
SOMERVILLE, TN 38068
Fayette County (901) 465-5466
MRS. KIMBERLY RENA WAKEFIELD-STRONG LPC-MHSP
Counselor (Mental Health)
213 LAKEVIEW RD
SOMERVILLE, TN 38068
Fayette County (901) 235-4649

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 Somerville Medical Clinic,inc's NPI number?

The NPI number for Somerville Medical Clinic,inc is 1972834414. It was assigned to this organization in the NPPES registry on January 22, 2010.

Where is Somerville Medical Clinic,inc located?

Somerville Medical Clinic,inc is located at 213 Lakeview Rd, Somerville, TN 38068. The listed phone number is (901) 465-5466.

What is Somerville Medical Clinic,inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Somerville Medical Clinic,inc was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.