Southern Allergy and Medical Clinic, Inc.
NPI 1417513177 · Allergy Physician · New Tazewell, TN
Southern Allergy and Medical Clinic, Inc. is a Allergy Physician organization in New Tazewell, TN (NPI 1417513177).
Provider details
- NPI number
- 1417513177
- Entity type
- Organization
- Primary specialty
- Allergy PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sasha Bussell, Owner(423) 489-5841
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Physician Assistant363A00000X
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
7 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
- 2019-05-17
- Last updated
- 2019-05-17
Frequently asked questions
- What is Southern Allergy and Medical Clinic, Inc.'s NPI number?
- Southern Allergy and Medical Clinic, Inc.'s National Provider Identifier (NPI) is 1417513177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Allergy and Medical Clinic, Inc.?
- Southern Allergy and Medical Clinic, Inc. is classified in the NPPES registry as Allergy Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Allergy and Medical Clinic, Inc. located?
- Southern Allergy and Medical Clinic, Inc.'s practice location on file with NPPES is 109 Main St, New Tazewell, TN 37825-6635.
- What is Southern Allergy and Medical Clinic, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Southern Allergy and Medical Clinic, Inc. is (423) 259-5704.
- Who is the authorized official for Southern Allergy and Medical Clinic, Inc.?
- The authorized official listed on Southern Allergy and Medical Clinic, Inc.'s NPPES record is Sasha Bussell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Allergy and Medical Clinic, Inc.'s NPI active?
- Yes — Southern Allergy and Medical Clinic, Inc.'s NPI (1417513177) is active in the NPPES registry as of the last update on 2019-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.