OrganizationActive
Clay County Outpatient Clinic
NPI 1992988638 · Family Medicine Physician · Celina, TN
Provider details
- NPI number
- 1992988638
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roberto Mauricio, President(931) 243-3576
- License
- MD7826 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
102 Old Jefferson Street
Celina, TN 38551-4040
Phone: (931) 243-3576
Fax: (931) 243-2751
Street-level locationGet directions
Mailing address
102 Old Jefferson Street
Celina, TN 38551-4040
Registry dates
- Enumerated
- 2007-12-17
- Last updated
- 2007-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.