Willow Medical Clinic, LLC
NPI 1356507404 · Medical Physician Assistant · Manchester, TN
Willow Medical Clinic, LLC is a Medical Physician Assistant organization in Manchester, TN (NPI 1356507404).
Provider details
- NPI number
- 1356507404
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tammy Shelley, Office Manager/Assist. Business Adm(931) 570-4755
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2008-07-29
- Last updated
- 2008-07-29
Frequently asked questions
- What is Willow Medical Clinic, LLC's NPI number?
- Willow Medical Clinic, LLC's National Provider Identifier (NPI) is 1356507404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willow Medical Clinic, LLC?
- Willow Medical Clinic, LLC is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Willow Medical Clinic, LLC located?
- Willow Medical Clinic, LLC's practice location on file with NPPES is 1400 Willow Dr, Manchester, TN 37355-2438.
- What is Willow Medical Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Willow Medical Clinic, LLC is (931) 728-7677.
- Who is the authorized official for Willow Medical Clinic, LLC?
- The authorized official listed on Willow Medical Clinic, LLC's NPPES record is Tammy Shelley, Office Manager/Assist. Business Adm. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willow Medical Clinic, LLC's NPI active?
- Yes — Willow Medical Clinic, LLC's NPI (1356507404) is active in the NPPES registry as of the last update on 2008-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.