NORTHFIELD FAMILY PRACTICE PC
NPI 1093989691
Family Medicine in La Vergne, TN

Active since April 15, 2008
6001 JACKSON SQUARE BLVD STE 100, LA VERGNE, TN 37086(615) 793-9900(615) 939-9990 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northfield Family Practice Pc NPPES

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

NORTHFIELD FAMILY PRACTICE PC (NPI 1093989691) is a healthcare organization registered as a family medicine in La Vergne, Tennessee and active in the NPI registry since April 2008. The organization lists Tina M Pettit, Office Manager/ao, as its authorized official.

NPPES Registry Identity

NPI1093989691
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHFIELD FAMILY PRACTICE PC
Location Address6001 JACKSON SQUARE BLVD STE 100La Vergne, TN 37086-2776
Mailing AddressPo Box 57La Vergne, TN 37086-0057 · (615) 793-9900 · Fax (615) 793-9990
Fax(615) 939-9990
Organization SubpartNo
Authorized OfficialTina M PettitOffice Manager/ao · (615) 793-9900
Enumeration DateApril 15, 2008
Last NPPES UpdateDecember 3, 2019
✔ NPI 1093989691 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.
6001 JACKSON SQUARE BLVD STE 100, La Vergne, TN 37086

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)

Northfield Family Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northfield Family Practice PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1568415164
115 FRONT ST
Smyrna, TN 37167
(615) 793-9900
✔ PECOS✔ Accepts Medicare4.1 mi

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 44D1051627

Northfield Family Practice, PC Dba Signature Health & Wellness · Smyrna, TN
Expired · Sep 20, 2026
CLIA Number44D1051627
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorDr. Moses Swauncy
Laboratory Phone(615) 793-9900
Laboratory LocationNorthfield Family Practice, PC Dba Signature Health & Wellness115 Front St, Smyrna, TN 37167
CLIA data matches this NPI record on: 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 Northfield Family Practice PC's NPI number?

The NPI number for Northfield Family Practice PC is 1093989691. It was assigned to this organization in the NPPES registry on April 15, 2008.

Where is Northfield Family Practice PC located?

Northfield Family Practice PC is located at 6001 Jackson Square Blvd Ste 100, La Vergne, TN 37086. The listed phone number is (615) 793-9900.

What is Northfield Family Practice PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Northfield Family Practice PC enrolled in Medicare?

Yes. Northfield Family Practice PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northfield Family Practice PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Northfield Family Practice 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northfield Family Practice PC was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.