Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

The Cleveland Clinic of Tn, PC

Organization Specialist · NPI 1619189289

The Cleveland Clinic of Tn, PC provides Specialist services in Cleveland, Tennessee. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

55 Ben Dr NW
Cleveland, TN 37311-3897 Not confirmed with CMS for 17 years — call before visiting
Phone: (423) 472-1991
Fax: (423) 339-2321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1619189289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kavin Johnson — Physician Owner · (423) 472-1991
NPI enumeratedMay 4, 2007
Last updated in NPPESMarch 25, 2009
Mailing addressPo Box 11052, Chattanooga, TN 37401-2052

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