TRI-COUNTY FAMILY CLINIC PLLC
NPI 1073488714
Nurse Practitioner - Family in Gleason, TN

Active since October 10, 2025CLIA 44D2335611 · Waiver
549 E UNION ST, GLEASON, TN 38229(731) 333-0957(833) 764-4567 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2025, Oct 10, 2025 (2 updates tracked since 2025).

About Tri-county Family Clinic Pllc NPPES

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

TRI-COUNTY FAMILY CLINIC PLLC (NPI 1073488714) is a healthcare organization registered as a family in Gleason, Tennessee and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through December 14, 2027 and lists Meike Alexandra Bridgeman, Co-owner, Fnp-bc, as its authorized official.

NPPES Registry Identity

NPI1073488714
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTRI-COUNTY FAMILY CLINIC PLLC
Location Address549 E UNION STGleason, TN 38229-7209
Mailing Address549 E Union StGleason, TN 38229-7209 · (731) 333-0957 · Fax (833) 764-4567
Fax(833) 764-4567
Organization SubpartNo
Authorized OfficialMeike Alexandra BridgemanCo-owner, Fnp-bc · (731) 336-9230
Enumeration DateOctober 10, 2025
Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1073488714 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
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
549 E UNION ST, Gleason, TN 38229

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Tri-county Family Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tri-County Family Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1962405373
549 E UNION ST
Gleason, TN 38229
(731) 333-0957
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801201926
549 E UNION ST
Gleason, TN 38229
(731) 333-0957
✔ PECOS✔ Accepts MedicareSame address

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 44D2335611

Tri-County Family Clinic · Gleason, TN
Active · expires Dec 14, 2027
CLIA Number44D2335611
Laboratory TypePractitioner Other
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorMeike A. Bridgeman
Laboratory Phone(731) 336-9230
Laboratory LocationTri-County Family Clinic549 East Union St, Gleason, TN 38229
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 Tri-County Family Clinic PLLC's NPI number?

The NPI number for Tri-County Family Clinic PLLC is 1073488714. It was assigned to this organization in the NPPES registry on October 10, 2025.

Where is Tri-County Family Clinic PLLC located?

Tri-County Family Clinic PLLC is located at 549 E Union St, Gleason, TN 38229. The listed phone number is (731) 333-0957.

What is Tri-County Family Clinic PLLC's specialty?

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

Is Tri-County Family Clinic PLLC enrolled in Medicare?

Yes. Tri-County Family Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-County Family Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Tri-County Family 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tri-County Family Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2335611) is associated with this NPI, valid through December 14, 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 Tri-County Family Clinic PLLC was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.