MCKENZIE MEDICAL CENTER PC
NPI 1063242675
Clinic/Center in Mckenzie, TN
About Mckenzie Medical Center Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENZIE MEDICAL CENTER PC (NPI 1063242675), doing business as Hometown Health Clinic Bethel Campus, is a healthcare organization registered as a clinic/center in Mckenzie, Tennessee and active in the NPI registry since August 2024. The organization lists Tammy Etherridge, Chief Operating Office, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Mckenzie Medical Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Mckenzie Medical Center PC, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 28Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mckenzie Medical Center PC's NPI number?
The NPI number for Mckenzie Medical Center PC is 1063242675. It was assigned to this organization in the NPPES registry on August 7, 2024. The provider is doing business as Hometown Health Clinic Bethel Campus.
Where is Mckenzie Medical Center PC located?
Mckenzie Medical Center PC is located at 175 Wildcat Ln, Mckenzie, TN 38201. The listed phone number is (731) 352-7907.
What is Mckenzie Medical Center PC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Mckenzie Medical Center PC enrolled in Medicare?
Yes. Mckenzie Medical Center PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mckenzie Medical Center PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 8 Medicare specialties reassign their Medicare billing to Mckenzie Medical Center PC. 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 (18), Clinical Social Worker (4) and Emergency Medicine (1). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mckenzie Medical Center PC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Mckenzie Medical Center PC 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 Mckenzie Medical Center PC was last updated on August 7, 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.
# Mckenzie Medical Center Pc · NPI 1063242675
Clinic/Center organization in Mckenzie, Tennessee. Organization record, active in the CMS NPPES registry since August 7, 2024.
## Identity
- **NPI:** 1063242675 (Entity type: Organization)
- **Enumerated:** August 7, 2024
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Hometown Health Clinic Bethel Campus (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Tammy Etherridge, CHIEF OPERATING OFFICE
## Practice location
- **Address:** 175 WILDCAT LN, Mckenzie, TN 38201
- **Phone:** (731) 352-7907
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (18), Clinical Social Worker (4), Emergency Medicine (1); 12 practice within 10 miles; [full list](https://npiprofile.com/npi/1063242675/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1063242675) · Data from the CMS NPPES public registry.