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Proactive MD Tn PC

Proactive MD Tn PC is a healthcare organization registered as Primary Care Clinic/Center in Clinton, TN, holding Type 2 (organization) NPI 1073375242 since 2024. The authorized official on file is Jody Addair, Clinical Ops Project Coordinator.

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NPI 1073375242
Entity type Organization (Type 2)
Legal business name Proactive MD Tn PC
Other name <Unavail>
Practice address 100 N MAIN ST RM 105, Clinton, TN, 37716
Phone 8653505225
Enumeration date 2024-01-24
Last updated in NPPES 2024-11-22

Authorized official

Name Jody Addair
Title Clinical Ops Project Coordinator
Phone 3175560017

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QP2300X Primary Care Clinic/Center Primary
Copy-ready billing details
Provider: Proactive MD Tn PC
NPI: 1073375242
Taxonomy: 261QP2300X (Primary Care Clinic/Center)
Address: 100 N MAIN ST RM 105, Clinton, TN, 37716

Providers at this address

NPI Name Type Specialty Location
1083039630 Jilliane Mcnew Individual Family Nurse Practitioner Clinton, TN
1356017875 Premise Health of Tennessee Medical PC Organization Multi-Specialty Clinic/Center Clinton, TN

Verify this record

Cross-check NPI 1073375242 against the authoritative CMS record: view Proactive MD Tn PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Proactive MD Tn PC located?
The practice location on file with NPPES is in Clinton, TN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-11-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-11-22.