OrganizationActive
Southern Medical Clinics, LLC
NPI 1508824749 · Primary Care Clinic/Center · Cleveland, TN
Provider details
- NPI number
- 1508824749
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debra Chin, Office Manager(423) 728-1845
- License
- PA753 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2384 Blue Springs Rd Se
Cleveland, TN 37311-0909
Phone: (423) 728-1845
Fax: (423) 728-1925
Street-level locationGet directions
Mailing address
Po Box 2515
Cleveland, TN 37320-2515
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2014-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.