SHAMROCK COMMUNITY HOSPITAL MEDICAL GROUP
NPI 1033878277
Family Medicine in Erin, TN

Active since December 15, 2021CLIA 44D0306825 · Certificate of Compliance
5001 E MAIN ST, ERIN, TN 37061(931) 289-4211 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 1, 2024, May 16, 2023, Dec 15, 2021 (3 updates tracked since 2021).

About Shamrock Community Hospital Medical Group NPPES

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

SHAMROCK COMMUNITY HOSPITAL MEDICAL GROUP (NPI 1033878277) is a healthcare organization registered as a family medicine in Erin, Tennessee and active in the NPI registry since December 2021. The organization holds a CLIA Certificate of Compliance certificate valid through March 7, 2028 and lists Larry Henson, Rcd, as its authorized official.

NPPES Registry Identity

NPI1033878277
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHAMROCK COMMUNITY HOSPITAL INC
Location Address5001 E MAIN STErin, TN 37061-4115
Mailing Address5001 E Main StErin, TN 37061-4115 · (931) 289-4211
Organization SubpartYes
Authorized OfficialLarry HensonRcd · (336) 944-6420
Enumeration DateDecember 15, 2021
Last NPPES UpdateAugust 1, 20243 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1033878277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgeryTaxonomy 208600000X
Also ListedHospitalistTaxonomy 208M00000X
5001 E MAIN ST, Erin, TN 37061

Other Names 1

Doing Business AsShamrock Community Hospital Medical Group

Other Identifiers 1

MedicaidQ079943TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shamrock Community Hospital Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

49

Medicare enrollment records show 49 clinicians reassign Medicare billing to Shamrock Community Hospital Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner15
Emergency Medicine13
Family Practice10
Internal Medicine4
Certified Registered Nurse Anesthetist (CRNA)3
General Surgery2
Diagnostic Radiology1
Gastroenterology1

Nearest to this location (20)

See all 49
Nurse Practitioner
NPI 1659627388
5001 E MAIN ST
Erin, TN 37061
(931) 289-4211
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1639293871
4891 EAST MAIN STREET
Erin, TN 37061
(931) 289-4201
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1720428279
650 JOEL DR - COD CREDENTIALS BLANCHFIELD ARMY COMMUNITY HOSPITAL
Fort Campbell, KY 42223
(270) 412-9890
✔ PECOS✔ Accepts Medicare26 mi
Family Practice
NPI 1679582894
430 S LAKE ST
Paris, TN 38242
(731) 642-3024
✔ PECOS✔ Accepts Medicare35 mi
Emergency Medicine
NPI 1255302907
236 NORTH MAIN STREET
Lobelville, TN 37097
(931) 593-2277
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1164814158
205 HOSPITAL DR SUITE A
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare46 mi
Emergency Medicine
NPI 1699721092
205 HOSPITAL DR STE A
Mc Kenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare46 mi
General Surgery
NPI 1831190057
250 BOSWELL ST
Lexington, TN 38351
(731) 968-2006
✔ PECOS✔ Accepts Medicare61 mi
Family Practice
NPI 1659637924
200 W CHURCH ST
Lexington, TN 38351
(731) 968-3646
✔ PECOS✔ Accepts Medicare61 mi
Nurse Practitioner
NPI 1740551613
200 W CHURCH ST
Lexington, TN 38351
(731) 968-3646
✔ PECOS✔ Accepts Medicare61 mi
General Surgery
NPI 1376715391
200 W CHURCH ST
Lexington, TN 38351
(731) 968-3646
✔ PECOS✔ Accepts Medicare61 mi
Nurse Practitioner
NPI 1134116205
200 W CHURCH ST
Lexington, TN 38351
(731) 968-3646
✔ PECOS✔ Accepts Medicare61 mi
Internal Medicine
NPI 1578785945
200 W CHURCH ST
Lexington, TN 38351
(731) 968-3646
✔ PECOS✔ Accepts Medicare61 mi
Internal Medicine
NPI 1104890201
200 W CHURCH ST
Lexington, TN 38351
(731) 968-3646
✔ PECOS✔ Accepts Medicare61 mi
Family Practice
NPI 1508180183
200 W CHURCH ST
Lexington, TN 38351
(731) 968-3646
✔ PECOS✔ Accepts Medicare61 mi
Gastroenterology
NPI 1982824561
2863 HIGHWAY 45 BYP
Jackson, TN 38305
(731) 422-0213
✔ PECOS✔ Accepts Medicare79 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093707945
17C BRENTSHIRE SQUARE
Jackson, TN 38305
(731) 664-1717
✔ Accepts Medicare79 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487651402
17C BRENTSHIRE SQUARE
Jackson, TN 38305
(731) 664-1717
✔ Accepts Medicare79 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1932436649
17C BRENTSHIRE SQUARE
Jackson, TN 38305
(731) 664-1717
✔ Accepts Medicare79 mi
Diagnostic Radiology
NPI 1851346621
367 HOSPITAL BLVD
Jackson, TN 38305
(731) 300-0352
✔ PECOS✔ Accepts Medicare79 mi
See all 49 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

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 Compliance 44D0306825

Shamrock Community Hospital, Inc Dba Houston County Community Hospital · Erin, TN
Active · expires Mar 7, 2028
CLIA Number44D0306825
Laboratory TypeHospital
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorDr. Albert C. Domm
Laboratory Phone(931) 289-1148
Laboratory LocationShamrock Community Hospital, Inc Dba Houston County Community Hospital5001 E Main St, Erin, TN 37061
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Shamrock Community Hospital Inc's NPI number?

The NPI number for Shamrock Community Hospital Inc is 1033878277. It was assigned to this organization in the NPPES registry on December 15, 2021. The provider is doing business as Shamrock Community Hospital Medical Group.

Where is Shamrock Community Hospital Inc located?

Shamrock Community Hospital Inc is located at 5001 E Main St, Erin, TN 37061. The listed phone number is (931) 289-4211.

What is Shamrock Community Hospital Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shamrock Community Hospital Inc enrolled in Medicare?

Yes. Shamrock Community Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shamrock Community Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 8 Medicare specialties reassign their Medicare billing to Shamrock Community Hospital Inc. 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 (15), Emergency Medicine (13) and Family Practice (10). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Shamrock Community Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D0306825) is associated with this NPI, valid through March 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shamrock Community Hospital Inc was last updated on August 1, 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.