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

Providence Medical Clinic LLC

Organization Specialist · NPI 1124215405

Providence Medical Clinic LLC is a Specialist in Greenbrier, Tennessee. Registered with an NPI since 2007.

In the registry since
2007
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

2354 Highway 41 S
Greenbrier, TN 37073-5510
Phone: (615) 483-6675
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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 number1124215405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Florendo — Owner / Provider · (615) 483-6675
NPI enumeratedOctober 1, 2007
Last updated in NPPESApril 29, 2008
Mailing address172 Foxrun, Springfield, TN 37172-7334