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HOMETOWN HEALTH CLINIC
NPI 1023611241
Clinic/Center - Rural Health in Mc Kenzie, TN

Active since November 19, 2020CLIA Certified · 6 labs
1894 CEDAR ST, MC KENZIE, TN 38201(731) 352-7907(833) 690-3848 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2024, Apr 5, 2021, Dec 1, 2020 and 2 more (5 updates tracked since 2020).

About Hometown Health Clinic NPPES

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

HOMETOWN HEALTH CLINIC (NPI 1023611241) is a healthcare organization registered as a rural health in Mc Kenzie, Tennessee and active in the NPI registry since November 2020. The organization holds 6 active CLIA laboratory certificates and lists Tammy Etheridge, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1023611241
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMCKENZIE MEDICAL CENTER PC
Location Address1894 CEDAR STMc Kenzie, TN 38201-2206
Mailing Address205a Hospital DrMc Kenzie, TN 38201-1649 · (731) 352-7907 · Fax (833) 690-3848
Phone(731) 352-7907
Fax(833) 690-3848
Organization SubpartNo
Authorized OfficialTammy EtheridgeChief Operating Officer · (731) 352-7907
Enumeration DateNovember 19, 2020
Last NPPES UpdateMay 6, 20245 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1023611241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1894 CEDAR ST, Mc Kenzie, TN 38201
Open in Google Maps ↗

Other Names 1

Doing Business AsHometown Health Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hometown Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

28

Medicare enrollment records show 28 clinicians reassign Medicare billing to Hometown Health Clinic, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner18
Clinical Social Worker4
Emergency Medicine1
Family Practice1
Internal Medicine1
Marriage and Family Therapist1
Mental Health Counselor1
Psychiatry1

Nearest to this location (20)

See all 28
Patricia Cunningham, LCSW
Clinical Social Worker
NPI 1225422355
1630 CEDAR ST
Mc Kenzie, TN 38201
(731) 415-5930
✔ PECOS✔ Accepts Medicare0.3 mi
Elijah Carpenter, FNP
Nurse Practitioner
NPI 1275469157
205A HOSPITAL DR
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare1.3 mi
Briana Chandler, FNP-C
Nurse Practitioner
NPI 1790408466
205 HOSPITAL DR STE A
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare1.3 mi
Terry Colotta, MD
Family Practice
NPI 1659374296
205 HOSPITAL DR STE A
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare1.3 mi
Hollie Frazier, APN
Nurse Practitioner
NPI 1013544576
205 HOSPITAL DR STE A
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare1.3 mi
Rachelle Hale, APRN-BC
Nurse Practitioner
NPI 1225869225
205 HOSPITAL DR STE A
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare1.3 mi
Joseph Hames, MD
Emergency Medicine
NPI 1699721092
205 HOSPITAL DR STE A
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare1.3 mi
David Johnson, MSW, LMFT
Marriage and Family Therapist
NPI 1194733089
205 HOSPITAL DR SUITE A
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare1.3 mi
Bryan Merrick, MD
Internal Medicine
NPI 1467455287
205 HOSPITAL DR STE A
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare1.3 mi
Lexi Osborne, LCSW
Clinical Social Worker
NPI 1215675277
205 HOSPITAL DR STE A
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare1.3 mi
Dawn Walker, FNP
Nurse Practitioner
NPI 1912468505
205A HOSPITAL DR
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare1.3 mi
Tanya Jackson, FNP-BC
Nurse Practitioner
NPI 1205132206
105 N CEDAR ST
Gleason, TN 38229
(731) 648-5634
✔ PECOS8.2 mi
Matthew Roberts, FNP-C
Nurse Practitioner
NPI 1932763059
205A COURT SQ
Huntingdon, TN 38344
(731) 535-5765
✔ PECOS✔ Accepts Medicare10 mi
Rachel Alford, FNP-C
Nurse Practitioner
NPI 1386355790
395 GILES RD
Huntingdon, TN 38344
(731) 415-2581
✔ PECOS✔ Accepts Medicare11 mi
Mary Wall, FNP-C
Nurse Practitioner
NPI 1134689920
136 S WILSON ST
Dresden, TN 38225
(731) 364-4900
✔ PECOS✔ Accepts Medicare16 mi
Leslie Ellis, FNP
Nurse Practitioner
NPI 1790063212
706 E WOOD ST
Paris, TN 38242
(731) 924-2000
✔ PECOS✔ Accepts Medicare16 mi
Kristin Davis, FNP-BC
Nurse Practitioner
NPI 1508182726
306 HIGHWAY 641 N
Camden, TN 38320
(731) 213-2344
✔ PECOS✔ Accepts Medicare23 mi
Shawn Churchill Coy, FNP-BC, PMHNP-BC
Nurse Practitioner
NPI 1255425922
190 W MAIN ST
Camden, TN 38320
(731) 213-2662
✔ PECOS✔ Accepts Medicare24 mi
Cristie Vibbert, FNP-BC
Nurse Practitioner
NPI 1306615349
190 W MAIN ST
Camden, TN 38320
(731) 213-2662
✔ PECOS✔ Accepts Medicare24 mi
Bobbie Walker, FNP-C
Nurse Practitioner
NPI 1659945418
160 PRAIRIE BRANCH RD
Camden, TN 38320
(731) 441-0803
✔ PECOS✔ Accepts Medicare24 mi
See all 28 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 6

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 44D0315280

Mc Kenzie Medical Center Dba Hometown Health Clinic · Mc Kenzie, TN
Active · expires Feb 15, 2028
CLIA Number44D0315280
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorDr. Terry A. Colotta
Laboratory Phone(731) 352-7907
Laboratory LocationMc Kenzie Medical Center Dba Hometown Health Clinic205A Hospital Drive, Mc Kenzie, TN 38201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2200889

Mckenzie Medical Center Dba Hometown Health Clinic And Convenient Care · Mc Kenzie, TN
Active · expires Nov 16, 2026
CLIA Number44D2200889
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorDr. Terry A. Colotta
Laboratory Phone(731) 352-7907
Laboratory LocationMckenzie Medical Center Dba Hometown Health Clinic And Convenient Care1894 Cedar Street, Mc Kenzie, TN 38201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D1084883

Bruceton Clinic,the Dba Hometown Health Clinic · Bruceton, TN
Active · expires Jun 4, 2028
CLIA Number44D1084883
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorTerry A. Colotta MD
Laboratory Phone(731) 352-7907
Laboratory LocationBruceton Clinic,the Dba Hometown Health Clinic30810 Broad Street, Bruceton, TN 38317
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2343073

Mckenzie Medical Center Dba Hometown Health Clinic Trenton · Trenton, TN
Active · expires Apr 29, 2028
CLIA Number44D2343073
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorTerry A. Colotta
Laboratory Phone(731) 352-7907
Laboratory LocationMckenzie Medical Center Dba Hometown Health Clinic Trenton2051 Us Hwy 45 Bypass S, Trenton, TN 38382
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2326332

Mckenzie Medical Center Dba Hometown Health Clinic · Greenfield, TN
Active · expires Jun 30, 2027
CLIA Number44D2326332
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorTerry A. Colotta
Laboratory Phone(731) 352-7907
Laboratory LocationMckenzie Medical Center Dba Hometown Health Clinic1731 S Meridian Street, Greenfield, TN 38230
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2160559

Mckenzie Medical Center · Mc Kenzie, TN
Active · expires Jan 13, 2027
CLIA Number44D2160559
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorDr. Terry A. Colotta
Laboratory Phone(731) 352-7907
Laboratory LocationMckenzie Medical Center175 Wildcat Lane, Mc Kenzie, TN 38201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mckenzie Medical Center PC's NPI number?

The NPI number for Mckenzie Medical Center PC is 1023611241. It was assigned to this organization in the NPPES registry on November 19, 2020. The provider is doing business as Hometown Health Clinic.

Where is Mckenzie Medical Center PC located?

Mckenzie Medical Center PC is located at 1894 Cedar St, Mc Kenzie, TN 38201. The listed phone number is (731) 352-7907.

What is Mckenzie Medical Center PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Mckenzie Medical Center PC enrolled in Medicare?

Yes. Mckenzie Medical Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mckenzie Medical Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 8 Medicare specialties reassign their Medicare billing to Mckenzie Medical Center PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (18), Clinical Social Worker (4) and Emergency Medicine (1). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mckenzie Medical Center PC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mckenzie Medical Center PC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Mckenzie Medical Center PC 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 Mckenzie Medical Center PC was last updated on May 6, 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.