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CLARKSVILLE PHYSICIAN SERVICES, LLC
NPI 1992077077
Clinic/Center - Rural Health in Dover, TN

Active since February 03, 2012CLIA 44D0306809 · Waiver
133 DR ROBERT H LEE ROAD, DOVER, TN 37058(931) 232-5141(931) 232-3905 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clarksville Physician Services, Llc NPPES

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

CLARKSVILLE PHYSICIAN SERVICES, LLC (NPI 1992077077), doing business as Dover Medical Clinic, is a healthcare organization registered as a rural health in Dover, Tennessee and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Wendy Monaci, President, as its authorized official.

NPPES Registry Identity

NPI1992077077
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCLARKSVILLE PHYSICIAN SERVICES, LLC
Location Address133 DR ROBERT H LEE ROADDover, TN 37058-3750
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(931) 232-5141
Fax(931) 232-3905
Organization SubpartNo
Authorized OfficialWendy MonaciPresident · (615) 936-3944
Enumeration DateFebruary 3, 2012
Last NPPES UpdateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
✔ NPI 1992077077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
133 DR ROBERT H LEE ROAD, Dover, TN 37058
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Other Names 2

Doing Business AsDover Medical Clinic
Doing Business AsVanderbilt Primary Care Dover

Other Identifiers 1

Other44-8914TN · Tn-medicare Part A

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 44D0306809

Clarksville Physician Services, LLC Dba Vanderbilt Primary Care Dover · Dover, TN
Active · expires Jun 14, 2027
CLIA Number44D0306809
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorDr. Atef Ebrhim
Laboratory Phone(931) 232-5141
Laboratory LocationClarksville Physician Services, LLC Dba Vanderbilt Primary Care Dover133 Dr Robert H Lee Drive, Dover, TN 37058
CLIA data matches this NPI record on: 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 Physician Services, LLC's NPI number?

The NPI number for Clarksville Physician Services, LLC is 1992077077. It was assigned to this organization in the NPPES registry on February 3, 2012. The provider is doing business as Dover Medical Clinic and Vanderbilt Primary Care Dover.

Where is Clarksville Physician Services, LLC located?

Clarksville Physician Services, LLC is located at 133 Dr Robert H Lee Road, Dover, TN 37058. The listed phone number is (931) 232-5141.

What is Clarksville Physician Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Clarksville Physician Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0306809) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clarksville Physician Services, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Clarksville Physician Services, LLC 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 Physician Services, LLC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.