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FAMILY PRACTICE CLINIC, PC
NPI 1023380474
Nurse Practitioner - Family in Dyersburg, TN

Active since February 01, 2012CLIA 44D0962574 · Waiver
1445 PARR AVE, DYERSBURG, TN 38024(731) 286-6156(731) 286-6797 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Practice Clinic, Pc NPPES

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

FAMILY PRACTICE CLINIC, PC (NPI 1023380474) is a healthcare organization registered as a family in Dyersburg, Tennessee and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Shari P Tidwell, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1023380474
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAMILY PRACTICE CLINIC, PC
Location Address1445 PARR AVEDyersburg, TN 38024-3153
Mailing Address1445 Parr AveDyersburg, TN 38024-3153 · (731) 286-6156 · Fax (731) 286-6797
Phone(731) 286-6156
Fax(731) 286-6797
Organization SubpartNo
Authorized OfficialShari P TidwellOwner/provider · (731) 286-6156
Enumeration DateFebruary 1, 2012
Last NPPES UpdateNovember 20, 2025
NPPES CertifiedNovember 20, 2025
✔ NPI 1023380474 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
License✔ Licensed in TN · 6331
1445 PARR AVE, Dyersburg, TN 38024
Open in Google Maps ↗

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

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 44D0962574

Family Practice Clinic PC · Dyersburg, TN
Active · expires Jul 7, 2027
CLIA Number44D0962574
Laboratory TypePractitioner Other
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorShari P. Tidwell
Laboratory Phone(731) 286-6156
Laboratory LocationFamily Practice Clinic PC1445 Parr Avenue, Dyersburg, TN 38024
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 3

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

TELETHERAPY SERVICES, LLC
Physical Therapist
1445 PARR AVE
DYERSBURG, TN 38024
Dyer County (731) 334-2919
MS. MAHASHINI NAIDOO PT
Physical Therapist
1445 PARR AVE
DYERSBURG, TN 38024
Dyer County (731) 334-2919
MS. SHARI P TIDWELL F.NP.
Nurse Practitioner (Family)
1445 PARR AVE
DYERSBURG, TN 38024
Dyer County (731) 286-6156

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 Family Practice Clinic, PC's NPI number?

The NPI number for Family Practice Clinic, PC is 1023380474. It was assigned to this organization in the NPPES registry on February 1, 2012.

Where is Family Practice Clinic, PC located?

Family Practice Clinic, PC is located at 1445 Parr Ave, Dyersburg, TN 38024. The listed phone number is (731) 286-6156.

What is Family Practice Clinic, PC's specialty?

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

Does Family Practice Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0962574) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Practice Clinic, PC was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.