| Vanderbilt Physician Services Clarksville | |
|
651 Dunlop Ln Clarksville TN 37040-5015 | |
| (931) 502-5080 | |
| (931) 502-5081 |
| Full Name | Vanderbilt Physician Services Clarksville |
|---|---|
| Speciality | General Practice |
| Location | 651 Dunlop Ln, Clarksville, Tennessee |
| Authorized Official Name and Position | Wendy Monaci (VICE PRESIDENT) |
| Authorized Official Contact | 6153439094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanderbilt Physician Services Clarksville 3841 Green Hills Village Dr Ste 200 Nashville TN 37215-2691 Ph: (470) 351-0247 | Vanderbilt Physician Services Clarksville 651 Dunlop Ln Clarksville TN 37040-5015 Ph: (931) 502-5080 |
| NPI Number | 1083657829 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 06/09/2026 |
| Certification Date | 06/09/2026 |
| Medicare PECOS PAC ID | 0547276917 |
|---|---|
| Medicare Enrollment ID | O20060223000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083657829 | NPI | - | NPPES |
| 37330061 | Medicaid | TN |
| Provider Name | Thomas J Killian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326151275 PECOS PAC ID: 5597735365 Enrollment ID: I20040728001685 |
| Provider Name | James D Amlicke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508961996 PECOS PAC ID: 5890755276 Enrollment ID: I20041012000476 |
| Provider Name | Malik Ibrahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588617187 PECOS PAC ID: 9133161573 Enrollment ID: I20070517000063 |
| Provider Name | William F Beauchamp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720079478 PECOS PAC ID: 1557454246 Enrollment ID: I20070911000954 |
| Provider Name | Christopher Lucas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982632337 PECOS PAC ID: 2062580152 Enrollment ID: I20081002000166 |
| Provider Name | Atef E Ebrhim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295990174 PECOS PAC ID: 2365589280 Enrollment ID: I20091027000197 |
| Provider Name | Ewa Antonczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891740270 PECOS PAC ID: 0840215034 Enrollment ID: I20111004000781 |
| Provider Name | Josh Edward Thornhill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457594947 PECOS PAC ID: 9638216047 Enrollment ID: I20130114000382 |
| Provider Name | Alan M Werner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1184779316 PECOS PAC ID: 0244313567 Enrollment ID: I20130322000414 |
| Provider Name | Fausta Ditah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063675692 PECOS PAC ID: 2062639776 Enrollment ID: I20140804000937 |
| Provider Name | Daniel Pischl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326350604 PECOS PAC ID: 5799903845 Enrollment ID: I20150609002526 |
| Provider Name | David B Price |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205899242 PECOS PAC ID: 3870496839 Enrollment ID: I20151112000577 |
| Provider Name | Rebecca Cravens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023474681 PECOS PAC ID: 0042514580 Enrollment ID: I20160203002751 |
| Provider Name | Craig a Ennis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295742120 PECOS PAC ID: 2769546605 Enrollment ID: I20160728002600 |
| Provider Name | Ali Latefi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215972732 PECOS PAC ID: 8820068711 Enrollment ID: I20160823002708 |
| Provider Name | Barbara Oland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780199554 PECOS PAC ID: 9739436403 Enrollment ID: I20180726001153 |
| Provider Name | Christina Joanne O'hara-rodriguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194243709 PECOS PAC ID: 0547512923 Enrollment ID: I20181012001149 |
| Provider Name | Jane Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265991871 PECOS PAC ID: 3577806553 Enrollment ID: I20190514002263 |
| Provider Name | Ronald Clinton Atwater |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104056951 PECOS PAC ID: 3870712284 Enrollment ID: I20190905002825 |
| Provider Name | Gregory Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609944099 PECOS PAC ID: 9133318074 Enrollment ID: I20200624001210 |
| Provider Name | Amber L Thiery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710579487 PECOS PAC ID: 7719393552 Enrollment ID: I20210303000594 |
| Provider Name | Michael Hibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174712541 PECOS PAC ID: 4284710583 Enrollment ID: I20210729001150 |
| Provider Name | Elizabeth Boxx Haggerty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902553266 PECOS PAC ID: 5395124614 Enrollment ID: I20220616001750 |
| Provider Name | Jessica Mormando |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104288042 PECOS PAC ID: 6002198132 Enrollment ID: I20220824003603 |
| Provider Name | Lydia Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548836687 PECOS PAC ID: 4284019662 Enrollment ID: I20220921002055 |
| Provider Name | Sean Patrick Mclaughlin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669415667 PECOS PAC ID: 2668484155 Enrollment ID: I20230323000658 |
| Provider Name | Folabi Ibrahim Ariganjoye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962022459 PECOS PAC ID: 1153745526 Enrollment ID: I20231002002990 |
| Provider Name | Haley Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467133215 PECOS PAC ID: 0143675736 Enrollment ID: I20231017003393 |
| Provider Name | Karl M Francis Jr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669521571 PECOS PAC ID: 1052494929 Enrollment ID: I20240213002598 |
| Provider Name | Amanda Maria Bahnam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013786219 PECOS PAC ID: 3274971858 Enrollment ID: I20240402000494 |
| Provider Name | Seth Allan Knox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467200998 PECOS PAC ID: 8628512159 Enrollment ID: I20240626000324 |
| Provider Name | Brett Simpson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376961987 PECOS PAC ID: 7911301643 Enrollment ID: I20250305003258 |
| Provider Name | Maximilian Martinez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609261916 PECOS PAC ID: 0648690768 Enrollment ID: I20250317002915 |
| Provider Name | Joshua Logan Mcdaniel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528698404 PECOS PAC ID: 0042732042 Enrollment ID: I20250319002691 |
| Provider Name | Ashlyn Griner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891556403 PECOS PAC ID: 3274970421 Enrollment ID: I20250828003997 |
| Provider Name | Michelle Colleen Flora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790578433 PECOS PAC ID: 9032615539 Enrollment ID: I20251002005229 |
| Provider Name | Debra Palka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730867946 PECOS PAC ID: 8628417441 Enrollment ID: I20260104000137 |
Veincare Centers of Tennessee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 647 Dunlop Lane, Suite 100, Clarksville, TN 37040 Phone: 931-551-8991 Fax: 931-551-4053 |
Center for Pulmonary & Sleep Medicine, PLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 298 Clear Sky Ct, Ste B, Clarksville, TN 37043 Phone: 931-542-2647 Fax: 931-542-2648 |
Hopewell Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Kraft St, Clarksville, TN 37040 Phone: 931-645-7866 Fax: 931-645-7766 |
Actuatecare LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1497 Hollis Rdg, Clarksville, TN 37043 Phone: 731-618-7179 |
Matthew Walker Comprehensive Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Dover Rd, Clarksville, TN 37042 Phone: 931-920-5000 Fax: 615-320-6033 |
Medical Direct Care, PLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 190 Hatcher Lane, Suite B, Clarksville, TN 37040 Phone: 931-221-0902 Fax: 931-221-0602 |