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TRINITY MEDICAL CLINIC, LLC
NPI 1013156629
Nurse Practitioner - Family in Selmer, TN

Active since February 05, 2009CLIA 44D1094923 · Microscopy
832 MULBERRY AVE, SELMER, TN 38375(731) 434-0200(731) 434-0203 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2024, Sep 19, 2019 (2 updates tracked since 2019).

About Trinity Medical Clinic, Llc NPPES

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

TRINITY MEDICAL CLINIC, LLC (NPI 1013156629) is a healthcare organization registered as a family in Selmer, Tennessee and active in the NPI registry since February 2009. The organization holds a CLIA Microscopy certificate valid through March 20, 2027 and lists Rhonda L Hunt, Owner, as its authorized official.

NPPES Registry Identity

NPI1013156629
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTRINITY MEDICAL CLINIC, LLC
Location Address832 MULBERRY AVESelmer, TN 38375-2334
Mailing Address832 Mulberry AveSelmer, TN 38375-2334 · (731) 424-0200 · Fax (731) 434-0203
Phone(731) 434-0200
Fax(731) 434-0203
Organization SubpartNo
Authorized OfficialRhonda L HuntOwner · (731) 434-0200
Enumeration DateFebruary 5, 2009
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1013156629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APN0000007669
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
832 MULBERRY AVE, Selmer, TN 38375
Open in Google Maps ↗

Other Identifiers 1

Other3341736TN · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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 for Provider-Performed Microscopy Procedures (PPMP) 44D1094923

Trinity Medical Clinic, LLC · Selmer, TN
Active · expires Mar 20, 2027
CLIA Number44D1094923
Laboratory TypePractitioner Other
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorDr. Mary J. Fullwood
Laboratory Phone(731) 434-0200
Laboratory LocationTrinity Medical Clinic, LLC832 Mulberry Ave, Selmer, TN 38375
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

RHONDA L HUNT FNP-BC
Nurse Practitioner (Family)
832 MULBERRY AVE
SELMER, TN 38375
McNairy County (731) 434-0200
MARY JANE FULLWOOD MD
Family Medicine
832 MULBERRY AVE
SELMER, TN 38375
McNairy County (731) 434-0200
CARIE ALLISON COX A.P.N.
Nurse Practitioner (Family)
832 MULBERRY AVE
SELMER, TN 38375
McNairy County (731) 434-0200

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 Trinity Medical Clinic, LLC's NPI number?

The NPI number for Trinity Medical Clinic, LLC is 1013156629. It was assigned to this organization in the NPPES registry on February 5, 2009.

Where is Trinity Medical Clinic, LLC located?

Trinity Medical Clinic, LLC is located at 832 Mulberry Ave, Selmer, TN 38375. The listed phone number is (731) 434-0200.

What is Trinity Medical Clinic, LLC's specialty?

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

Does Trinity Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D1094923) is associated with this NPI, valid through March 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Trinity 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 2 other insurers list Trinity 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 Trinity Medical Clinic, LLC was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.