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

Dr. Samuel Andrew Polek, MD

Individual provider Psychiatry Physician · NPI 1790004646

Dr. Samuel Andrew Polek, MD is a Psychiatry in Clarksville, Tennessee. Qualified in 2009, 17 years ago. Practices with Family Care Center LLC, a 693-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Alabama.

Years since qualifying
17
Licensed in
AL
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

128 N 2nd St Ste 202
Clarksville, TN 37040-6460
Phone: (866) 219-2688
Fax: (423) 523-0994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2803 Greystone Commercial Blvd Ste 12, Hoover, AL 35242-9603 — (866) 219-2688

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD.32824 (AL)

Record details

NPI number1790004646
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 18, 2010
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Family Care Center Llc — 693 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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