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

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: August 16, 2026.

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

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.

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 13 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.