FAITH FAMILY MEDICAL CLINIC, LLC
NPI 1003302951
Nurse Practitioner - Family in Brownsville, TN

Active since July 03, 2018
511 E MAIN ST, BROWNSVILLE, TN 38012(731) 734-2023(877) 753-3133 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2022, Sep 4, 2018, Jul 3, 2018 (3 updates tracked since 2018).

About Faith Family Medical Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAITH FAMILY MEDICAL CLINIC, LLC (NPI 1003302951) is a healthcare organization registered as a family in Brownsville, Tennessee and active in the NPI registry since July 2018. The organization lists Robert Franklin Callery, Owner, as its authorized official.

NPPES Registry Identity

NPI1003302951
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAITH FAMILY MEDICAL CLINIC, LLC
Location Address511 E MAIN STBrownsville, TN 38012
Mailing Address511 E Main StBrownsville, TN 38012-4113 · (731) 734-2023 · Fax (877) 753-3133
Fax(877) 753-3133
Organization SubpartNo
Authorized OfficialRobert Franklin CalleryOwner · (731) 734-2023
Enumeration DateJuly 3, 2018
Last NPPES UpdateSeptember 22, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
NPI 1003302951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
511 E MAIN ST, Brownsville, TN 38012

Other Identifiers 1

MedicaidQ037097TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2151816

Faith Family Medical Clinic · Brownsville, TN
Expired · Jul 29, 2026
CLIA Number44D2151816
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorRobert F. Callery
Laboratory Phone(731) 734-2023
Laboratory LocationFaith Family Medical Clinic511 E Main St, Brownsville, TN 38012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
511 E MAIN ST
BROWNSVILLE, TN 38012
Nurse Practitioner (Family)
511 E MAIN ST
BROWNSVILLE, TN 38012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Faith Family Medical Clinic, LLC's NPI number?

The NPI number for Faith Family Medical Clinic, LLC is 1003302951. It was assigned to this organization in the NPPES registry on July 3, 2018.

Where is Faith Family Medical Clinic, LLC located?

Faith Family Medical Clinic, LLC is located at 511 E Main St, Brownsville, TN 38012. The listed phone number is (731) 734-2023.

What is Faith Family Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Faith Family Medical Clinic, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Faith Family Medical Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Faith Family Medical Clinic, LLC was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.