OrganizationActive
Middle Tennessee and Adolescent Medicine P.C.
NPI 1073634085 · Clinic/Center · Lebanon, TN
Middle Tennessee and Adolescent Medicine P.C. is a Clinic/Center organization in Lebanon, TN (NPI 1073634085).
Provider details
- NPI number
- 1073634085
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stephen Claycomb, President(615) 449-5611
- License
- MD023656 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Physicians Way
Suite 200
Lebanon, TN 37090-8102
Phone: (615) 449-5611
Fax: (615) 443-0571
Street-level locationGet directions
Mailing address
100 Physicians Way
Lebanon, TN 37090-8102
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2008-05-07
Frequently asked questions
- What is Middle Tennessee and Adolescent Medicine P.C.'s NPI number?
- Middle Tennessee and Adolescent Medicine P.C.'s National Provider Identifier (NPI) is 1073634085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Middle Tennessee and Adolescent Medicine P.C.?
- Middle Tennessee and Adolescent Medicine P.C. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Middle Tennessee and Adolescent Medicine P.C. located?
- Middle Tennessee and Adolescent Medicine P.C.'s practice location on file with NPPES is 100 Physicians Way, Lebanon, TN 37090-8102.
- What is Middle Tennessee and Adolescent Medicine P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Middle Tennessee and Adolescent Medicine P.C. is (615) 449-5611.
- Who is the authorized official for Middle Tennessee and Adolescent Medicine P.C.?
- The authorized official listed on Middle Tennessee and Adolescent Medicine P.C.'s NPPES record is Stephen Claycomb, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Middle Tennessee and Adolescent Medicine P.C.'s NPI active?
- Yes — Middle Tennessee and Adolescent Medicine P.C.'s NPI (1073634085) is active in the NPPES registry as of the last update on 2008-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.