| NPI | 1346288966 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-06-04 |
| Last Updated | 2025-01-21 |
| Mailing Address | 3024 Business Park Cir Goodlettsville, TN 37072-3132 United States Phone: (615) 239-2018 📍 View Map |
| Primary Practice Address | 102 Wessington Pl Hendersonville, TN 37075-3085 United States Phone: (615) 822-2214 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | NC | 0404464 | Evercare |
| Other (non-Medicare) | NC | 14014 | BCBS Provider# |
| Other (non-Medicare) | NC | 184386 | Medcost Provider# |
| MEDICAID | NC | 5902491 | - |
| Other (non-Medicare) | NC | FH2967215 | FCC Provider# |
| Other (non-Medicare) | SC | N01356 | SC Medicaid Provider# |
| Other (non-Medicare) | NC | P00278679 | Palmetto GBA Provider# |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 174400000X – Specialist | TN | 43085 |
| No | 207RS0012X – Internal Medicine, Sleep Medicine | TN | 43085 |
| Yes | 207RP1001X – Internal Medicine, Pulmonary Disease | TN | 43085 |
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About NPI 1346288966
Clyde O Southwell MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1346288966. The primary specialty listed is Internal Medicine, Pulmonary Disease. The provider is located in Hendersonville, TN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-04. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1346288966?
NPI 1346288966 belongs to Clyde O Southwell MD, a Internal Medicine, Pulmonary Disease in Hendersonville, TN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1346288966 active?
The current status of NPI 1346288966 in the NPPES registry is Active. The record was last updated on 2025-01-21.
What specialty is NPI 1346288966?
NPI 1346288966 is classified under the taxonomy Internal Medicine, Pulmonary Disease. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1346288966?
You can verify NPI 1346288966 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1346288966?
The primary practice address on file for NPI 1346288966 is 102 Wessington Pl, Hendersonville, TN 37075-3085. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1346288966 issued?
NPI 1346288966 was first issued (enumerated) on 2006-06-04. The NPPES record was last updated on 2025-01-21.
Practice Location Map
Clyde O Southwell is located at 102 Wessington Pl, Hendersonville, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Clyde O Southwell. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1346288966. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Specialist | 43085 | TN |
| Internal Medicine, Sleep Medicine | 43085 | TN |
| Internal Medicine, Pulmonary Disease | 43085 | TN |