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TERRELL CLINIC LLC
NPI 1053581744
Nurse Practitioner - Family in Union City, TN

Active since March 10, 2008CLIA 44D1081313 · Waiver
701 EAST REELFOOT AVE, SUITE 100, UNION CITY, TN 38261(731) 885-9687(731) 885-6643 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Terrell Clinic Llc NPPES

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

TERRELL CLINIC LLC (NPI 1053581744) is a healthcare organization registered as a family in Union City, Tennessee and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Renea L Nagel-terrell, Owner, as its authorized official.

NPPES Registry Identity

NPI1053581744
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTERRELL CLINIC LLC
Location Address701 EAST REELFOOT AVE, SUITE 100Union City, TN 38261
Mailing Address701 E Reelfoot Ave Ste 100, Po Box 398Union City, TN 38261-5886 · (731) 885-9687 · Fax (731) 885-6643
Phone(731) 885-9687
Fax(731) 885-6643
Organization SubpartNo
Authorized OfficialRenea L Nagel-terrellOwner · (731) 885-9687
Enumeration DateMarch 10, 2008
Last NPPES UpdateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1053581744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · RN92056
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License APN6675 (TN)
701 EAST REELFOOT AVE, Union City, TN 38261
Open in Google Maps ↗

Other Identifiers 6

Other1801595764TN · Npi
Medicaid1054900TN
Other1053581744TN · Group
Medicaid1053581744TN
Other1619977584TN · Individual Npi
Other1891249645TN · Npi

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 MULTIPLE SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Terrell Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Amanda Polman, RN, BSN, FNP
Nurse Practitioner
NPI 1801595764
701 E REELFOOT AVE STE 100
Union City, TN 38261
(731) 885-9687
✔ PECOS✔ Accepts MedicareSame address
Renea Nagel-Terrell, CFNP
Nurse Practitioner
NPI 1619977584
701 E REELFOOT AVE SUITE 100
Union City, TN 38261
(731) 885-9687
✔ PECOS✔ Accepts Medicare1.0 mi
Jennifer Jennings, FNP-BC
Nurse Practitioner
NPI 1891249645
205 HOSPITAL DRIVE SUITE A
Mckenzie, TN 38201
(731) 352-7907
✔ PECOS✔ Accepts Medicare37 mi

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 44D1081313

Terrell Clinic · Union City, TN
Active · expires Mar 13, 2028
CLIA Number44D1081313
Laboratory TypePractitioner Other
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorRenea Nagel-Terrell
Laboratory Phone(731) 885-9687
Laboratory LocationTerrell Clinic701 E Reelfoot Avenue Suite 100, Union City, TN 38261
CLIA data matches this NPI record on: Address 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 Terrell Clinic LLC's NPI number?

The NPI number for Terrell Clinic LLC is 1053581744. It was assigned to this organization in the NPPES registry on March 10, 2008.

Where is Terrell Clinic LLC located?

Terrell Clinic LLC is located at 701 East Reelfoot Ave Suite 100, Union City, TN 38261. The listed phone number is (731) 885-9687.

What is Terrell Clinic LLC's specialty?

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

Is Terrell Clinic LLC enrolled in Medicare?

Yes. Terrell Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Terrell Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Terrell Clinic LLC. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Terrell Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1081313) is associated with this NPI, valid through March 13, 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 Terrell Clinic LLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.