CROSSVILLE FAMILY MEDICINE LLC
NPI 1093349169
Family Medicine in Crossville, TN

Active since February 27, 2020
1645 S MAIN ST STE 101, CROSSVILLE, TN 38555(931) 484-7531(931) 456-9515 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crossville Family Medicine Llc NPPES

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

CROSSVILLE FAMILY MEDICINE LLC (NPI 1093349169) is a healthcare organization registered as a family medicine in Crossville, Tennessee and active in the NPI registry since February 2020. The organization lists Allison M Simms, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1093349169
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCROSSVILLE FAMILY MEDICINE LLC
Location Address1645 S MAIN ST STE 101Crossville, TN 38555-5998
Mailing Address1645 S Main St Ste 101Crossville, TN 38555-5998 · (931) 484-7531 · Fax (931) 456-9515
Fax(931) 456-9515
Organization SubpartNo
Authorized OfficialAllison M SimmsPhysician/owner · (931) 484-7531
Enumeration DateFebruary 27, 2020
NPI 1093349169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1645 S MAIN ST STE 101, Crossville, TN 38555

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 44D2276899

Upper Cumberland Rural Health Clinic, PLLC Dba Crossville Medical Clinic · Crossville, TN
Active · expires Feb 15, 2027
CLIA Number44D2276899
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorPushpendra K. Jain
Laboratory Phone(931) 250-5230
Laboratory LocationUpper Cumberland Rural Health Clinic, PLLC Dba Crossville Medical Clinic820 Main St, Crossville, TN 38555
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Family Medicine
1645 S MAIN ST STE 101
CROSSVILLE, TN 38555
Family Medicine
1645 S MAIN ST STE 101
CROSSVILLE, TN 38555
Family Medicine
1645 S MAIN ST STE 101
CROSSVILLE, TN 38555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093349169, enumerated as an "organization" on February 27, 2020.

The provider is located at 1645 S MAIN ST STE 101 CROSSVILLE, TN 38555 and the phone number is (931) 484-7531.

Family Medicine with taxonomy code 207Q00000X.