Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1 Team Clinic LLC

Organization Family Nurse Practitioner · NPI 1578000410

1 Team Clinic LLC is a Family Nurse Practitioner in Midway, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

199 Pottertown Rd
Midway, TN 37809-3213
Phone: (423) 422-4454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1043217352 (TN)

Record details

NPI number1578000410
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Doty — President · (423) 639-0187
NPI enumeratedJanuary 31, 2017
Last updated in NPPESJanuary 31, 2017
Mailing addressPo Box 416, Greeneville, TN 37744-0416

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