MEDICAL DIRECT CARE, PLC
NPI 1104253327
Family Medicine in Clarksville, TN

Q: What is Medical Direct Care, Plc's NPI number?

The NPI number for Medical Direct Care, Plc is 1104253327. It was assigned to this organization in the NPPES registry on October 2, 2013.

Q: What is Medical Direct Care, Plc's specialty?

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

Active since October 02, 2013CLIA 44D2062177 · Waiver

190 HATCHER LANE, SUITE B, CLARKSVILLE, TN 37040(931) 221-0902(931) 221-0602 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Medical Direct Care, Plc NPPES

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

MEDICAL DIRECT CARE, PLC (NPI 1104253327) is a healthcare organization registered as a family medicine in Clarksville, Tennessee and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Gregory Marcel Fryer, Owner, as its authorized official.

NPPES Registry Identity

NPI1104253327

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMEDICAL DIRECT CARE, PLC

Location Address190 HATCHER LANE, SUITE BClarksville, TN 37040

Mailing Address190 Hatcher Lane, Suite BClarksville, TN 37040 · (931) 221-0902 · Fax (931) 221-0602

Phone(931) 221-0902

Fax(931) 221-0602

Organization SubpartNo

Authorized OfficialGregory Marcel FryerOwner · (931) 221-0902

Enumeration DateOctober 2, 2013

Last NPPES UpdateJuly 3, 2025

NPPES CertifiedJuly 3, 2025

✔ NPI 1104253327 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.

190 HATCHER LANE, Clarksville, TN 37040

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Direct Care, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Medical Direct Care, Plc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Lauren Bealle

Nurse Practitioner

NPI 1912898487

190 HATCHER LN STE B
Clarksville, TN 37043

(931) 221-0902

✔ PECOSSame address

Gregory Fryer, M.D.

Family Practice

NPI 1326013566

190 HATCHER LN STE B
Clarksville, TN 37043

(931) 221-0902

✔ 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 44D2062177

Medical Direct Care, Plc · Clarksville, TN

Active · expires Jul 10, 2027

CLIA Number44D2062177

Laboratory TypePhysician Office

Certificate Effective DateJuly 11, 2025

Certificate Expiration DateJuly 10, 2027

Laboratory DirectorGregory Fryer

Laboratory Phone(931) 221-0902

Laboratory LocationMedical Direct Care, Plc190 Hatcher Lane, Suite B, Clarksville, TN 37040

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 Medical Direct Care, Plc's NPI number?

The NPI number for Medical Direct Care, Plc is 1104253327. It was assigned to this organization in the NPPES registry on October 2, 2013.

Where is Medical Direct Care, Plc located?

Medical Direct Care, Plc is located at 190 Hatcher Lane Suite B, Clarksville, TN 37040. The listed phone number is (931) 221-0902.

What is Medical Direct Care, Plc's specialty?

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

Is Medical Direct Care, Plc enrolled in Medicare?

Yes. Medical Direct Care, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Direct Care, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Medical Direct Care, Plc, in Family Practice and Nurse Practitioner. 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 Medical Direct Care, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2062177) is associated with this NPI, valid through July 10, 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 Medical Direct Care, Plc was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.