PINEWOOD MEDICAL LLC
NPI 1073983920
Nurse Practitioner - Family in Dickson, TN

Active since October 05, 2015CLIA 44D2110709 · Waiver
3499 HIGHWAY 70 W, DICKSON, TN 37055(615) 512-4099 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pinewood Medical Llc NPPES

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

PINEWOOD MEDICAL LLC (NPI 1073983920) is a healthcare organization registered as a family in Dickson, Tennessee and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through March 21, 2028 and lists Susan Orsbon, Owner, as its authorized official.

NPPES Registry Identity

NPI1073983920
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePINEWOOD MEDICAL LLC
Location Address3499 HIGHWAY 70 WDickson, TN 37055-4234
Mailing Address10256 Mcgee RdLyles, TN 37098-1738 · (615) 512-4099
Organization SubpartNo
Authorized OfficialSusan OrsbonOwner · (615) 512-4099
Enumeration DateOctober 5, 2015
NPI 1073983920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 19587
3499 HIGHWAY 70 W, Dickson, TN 37055

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 44D2110709

Pinewood Medical LLC · Dickson, TN
Active · expires Mar 21, 2028
CLIA Number44D2110709
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorSusan Orsbon
Laboratory Phone(615) 326-8121
Laboratory LocationPinewood Medical LLC3499 Hwy 70 W, Dickson, TN 37055
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Registered Nurse
3499 HIGHWAY 70 W
DICKSON, TN 37055

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 Pinewood Medical LLC's NPI number?

The NPI number for Pinewood Medical LLC is 1073983920. It was assigned to this organization in the NPPES registry on October 5, 2015.

Where is Pinewood Medical LLC located?

Pinewood Medical LLC is located at 3499 Highway 70 W, Dickson, TN 37055. The listed phone number is (615) 512-4099.

What is Pinewood Medical LLC's specialty?

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

Does Pinewood Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2110709) is associated with this NPI, valid through March 21, 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 Pinewood Medical LLC was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.