LINCOLN MEDICAL CENTER OBGYN CLINIC
NPI 1053604298
Obstetrics & Gynecology in Fayetteville, TN

Active since May 20, 2011CLIA 44D1065410 · Waiver
108 MEDICAL CENTER BLVD, SUITE 150, FAYETTEVILLE, TN 37334(931) 433-1105(931) 433-1171 Get Directions Write a Review

NPPES record last updated: May 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lincoln Medical Center Obgyn Clinic NPPES

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

LINCOLN MEDICAL CENTER OBGYN CLINIC (NPI 1053604298) is a healthcare organization registered as an obstetrics & gynecology in Fayetteville, Tennessee and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Robin Marshall, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053604298
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameLINCOLN MEDICAL CENTER OBGYN CLINIC
Location Address108 MEDICAL CENTER BLVD, SUITE 150Fayetteville, TN 37334-2741
Mailing Address108 Medical Center Blvd, Suite 150Fayetteville, TN 37334-2741 · (931) 433-1105 · Fax (931) 433-1171
Fax(931) 433-1171
Organization SubpartNo
Authorized OfficialRobin MarshallOffice Manager · (931) 433-1105
Enumeration DateMay 20, 2011
NPI 1053604298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
108 MEDICAL CENTER BLVD, Fayetteville, TN 37334

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 SINGLE SPECIALTY GROUP

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 44D1065410

Lincoln Medical Center Ob-Gyn Clinic · Fayetteville, TN
Active · expires Feb 27, 2027
CLIA Number44D1065410
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Michael Nobles
Laboratory Phone(931) 433-1105
Laboratory LocationLincoln Medical Center Ob-Gyn Clinic108 Medical Center Blvd Suite #150, Fayetteville, TN 37334
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
108 MEDICAL CENTER BLVD, SUITE 175
FAYETTEVILLE, TN 37334
Family Medicine
108 MEDICAL CENTER BLVD, SUITE G-50
FAYETTEVILLE, TN 37334
Radiologic Technologist
108 MEDICAL CENTER BLVD, BOX 7
FAYETTEVILLE, TN 37334
Internal Medicine (Hematology & Oncology)
108 MEDICAL CENTER BLVD, STE G25
FAYETTEVILLE, TN 37334
Specialist
108 MEDICAL CENTER BLVD, SUITE G25
FAYETTEVILLE, TN 37334
Family Medicine
108 MEDICAL CENTER BLVD, SUITE G-50
FAYETTEVILLE, TN 37334
Family Medicine
108 MEDICAL CENTER BLVD, SUITE G 50
FAYETTEVILLE, TN 37334
Family Medicine
108 MEDICAL CENTER BLVD, SUITE G-50
FAYETTEVILLE, TN 37334

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 Lincoln Medical Center Obgyn Clinic's NPI number?

The NPI number for Lincoln Medical Center Obgyn Clinic is 1053604298. It was assigned to this organization in the NPPES registry on May 20, 2011.

Where is Lincoln Medical Center Obgyn Clinic located?

Lincoln Medical Center Obgyn Clinic is located at 108 Medical Center Blvd Suite 150, Fayetteville, TN 37334. The listed phone number is (931) 433-1105.

What is Lincoln Medical Center Obgyn Clinic's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Lincoln Medical Center Obgyn Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1065410) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lincoln Medical Center Obgyn Clinic was last updated on May 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.