TRENTON MEDICAL CLINIC PLLC
NPI 1043750193
Clinic/Center - Primary Care in Trenton, TN
About Trenton Medical Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRENTON MEDICAL CLINIC PLLC (NPI 1043750193) is a healthcare organization registered as a primary care in Trenton, Tennessee and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through August 7, 2027 and lists Adenike Fatomoh Adedeji, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Trenton Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Trenton Medical Clinic PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 44D2134674
Trenton Medical Clinic PLLC · Trenton, 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 Trenton Medical Clinic PLLC's NPI number?
The NPI number for Trenton Medical Clinic PLLC is 1043750193. It was assigned to this organization in the NPPES registry on March 7, 2017.
Where is Trenton Medical Clinic PLLC located?
Trenton Medical Clinic PLLC is located at 120 Davy Crockett Mall, Trenton, TN 38382. The listed phone number is (731) 855-3719.
What is Trenton Medical Clinic PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Trenton Medical Clinic PLLC enrolled in Medicare?
Yes. Trenton Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Trenton Medical Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Trenton Medical Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Trenton Medical Clinic PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2134674) is associated with this NPI, valid through August 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Trenton Medical Clinic PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Trenton Medical Clinic PLLC 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 Trenton Medical Clinic PLLC was last updated on March 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Trenton Medical Clinic Pllc · NPI 1043750193
Primary Care organization in Trenton, Tennessee. Organization record, active in the CMS NPPES registry since March 7, 2017.
## Identity
- **NPI:** 1043750193 (Entity type: Organization)
- **Enumerated:** March 7, 2017
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Adenike Adedeji, NURSE PRACTITIONER
## Practice location
- **Address:** 120 DAVY CROCKETT MALL, Trenton, TN 38382-2934
- **Phone:** (731) 855-3719
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2017
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043750193) · Data from the CMS NPPES public registry.