CAREY FAMILY PRACTICE AND PEDIATRICS PLLC
NPI 1033970405
Family Medicine in Hartsville, TN
About Carey Family Practice And Pediatrics Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAREY FAMILY PRACTICE AND PEDIATRICS PLLC (NPI 1033970405), doing business as Carey Family Practice, is a healthcare organization registered as a family medicine in Hartsville, Tennessee and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through June 19, 2028 and lists James D Carey, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carey Family Practice And Pediatrics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Carey Family Practice And Pediatrics PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Waiver 44D2306542
Carey Family Practice & Pediatrics, PLLC · Hartsville, TNFrequently 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 Carey Family Practice And Pediatrics PLLC's NPI number?
The NPI number for Carey Family Practice And Pediatrics PLLC is 1033970405. It was assigned to this organization in the NPPES registry on January 22, 2024. The provider is doing business as Carey Family Practice.
Where is Carey Family Practice And Pediatrics PLLC located?
Carey Family Practice And Pediatrics PLLC is located at 220 Broadway, Hartsville, TN 37074. The listed phone number is (615) 374-2101.
What is Carey Family Practice And Pediatrics PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carey Family Practice And Pediatrics PLLC enrolled in Medicare?
Yes. Carey Family Practice And Pediatrics PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carey Family Practice And Pediatrics PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Carey Family Practice And Pediatrics PLLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Carey Family Practice And Pediatrics PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2306542) is associated with this NPI, valid through June 19, 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 Carey Family Practice And Pediatrics PLLC was last updated on January 22, 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.
# Carey Family Practice And Pediatrics Pllc · NPI 1033970405
Family Medicine organization in Hartsville, Tennessee. Organization record, active in the CMS NPPES registry since January 22, 2024.
## Identity
- **NPI:** 1033970405 (Entity type: Organization)
- **Enumerated:** January 22, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Carey Family Practice (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** James Carey, OWNER
## Practice location
- **Address:** 220 BROADWAY, Hartsville, TN 37074-1304
- **Phone:** (615) 374-2101 · **Fax:** (615) 374-9632
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033970405) · Data from the CMS NPPES public registry.