LIBERTY MEDICAL CLINIC PC (NPI# 1790812956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790812956 |
| Entity Type | Organization |
| Organization Name | LIBERTY MEDICAL CLINIC PC |
| Practice Address |
4937 College St Bells TN 38006-3483 |
| Mailing Address |
4937 College Street Bells TN 38006-3481 |
| Practice Telephone | 7316633530 |
| Practice Fax Number | 7316633531 |
| Mailing Telephone | 7316633530 |
| Mailing Fax Number | 7316633531 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2017-05-08 |
| Authorized Official Name | DR. CHIZOBA N NNAJI (ASSISTANT) |
| Authorized Official Telephone | 7316633530 |
| Authorized Official Credential | DNP, FNP-B.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0000032096 | TN | Ambulatory Health Care Facilities |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000013147 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
44-3974 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3847625 | 05 | |
| TN | 0443974 | 05 |
| Street Address |
4937 COLLEGE ST |
| City | BELLS |
| State | TN |
| Zip Code | 38006-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467636373 | Chizoba N Nnaji | Nurse Practitioner | 4937 College St, Bells, TN 38006-3483 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255673380 | Downtown Medical Clinic Pllc | Clinic/Center | 113 Hopkins Avenue, Bells, TN 38006 | 2013-03-27 |
| 1578624458 | Joseph C Widner | Dentist | 6058 Hwy 412 South, Bells, TN 38006 | 2006-12-13 |
| 1538128640 | Bells Family Medicine | Nurse Practitioner | 103 Front St, Bells, TN 38006 | 2006-03-20 |
| 1881711539 | Glenn Rowe Bonifield Jr. | Pharmacist | 131 Main St, Bells, TN 38006-0280 | 2007-03-26 |
| 1679967491 | Serenity Home Care LLC | Adult Companion | 111 Renee Dr, Bells, TN 38006-1100 | 2015-03-19 |
| 1477576346 | Bells Nursing Home Inc | Skilled Nursing Facility | 213 Herndon Dr, Bells, TN 38006-3654 | 2006-07-25 |
| 1245253087 | Vicky Richards | Pharmacist | 150 Herndon Dr, Bells, TN 38006-3659 | 2006-07-25 |
| 1265420962 | Carol C Haynes | Family Medicine | 100 Herndon Dr, Bells, TN 38006-3659 | 2005-10-07 |
| 1215925425 | Transsouth Health Care PC | Family Medicine | 100 Herndon Dr, Bells, TN 38006-3659 | 2005-10-11 |
| 1952665135 | Chablis Patrick Despain | Chiropractor | 1425 Belle Meade Rd Apt 62, Bells, TN 38006-3675 | 2012-07-02 |
| Find all providers in zip 38006 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
| 1447861562 | Henry County Medical Center | Clinic/Center | 14201 Highway 79 N Unit 4, Buchanan, TN 38222-4183 | 2020-08-12 |
| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LIBERTY MEDICAL CLINIC PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.