DUCK FAMILY MEDICINE
NPI 1104345271
Clinic/Center - Multi-Specialty in Rutledge, TN

Active since September 11, 2017CLIA 44D1061057 · Microscopy
8731 RUTLEDGE PIKE, RUTLEDGE, TN 37861(865) 828-5595(865) 828-5607 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Aug 3, 2020, Sep 19, 2017 and 1 more (4 updates tracked since 2017).

About Duck Family Medicine NPPES

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

DUCK FAMILY MEDICINE (NPI 1104345271) is a healthcare organization registered as a multi-specialty in Rutledge, Tennessee and active in the NPI registry since September 2017. The organization holds a CLIA Microscopy certificate valid through November 7, 2026 and lists Dennis Howard Duck, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1104345271
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDENNIS H. DUCK
Location Address8731 RUTLEDGE PIKERutledge, TN 37861-3112
Mailing Address8731 Rutledge PikeRutledge, TN 37861-3112 · (865) 828-5595 · Fax (865) 828-5607
Fax(865) 828-5607
Organization SubpartNo
Authorized OfficialDennis Howard DuckPhysician/owner · (865) 828-5607
Enumeration DateSeptember 11, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedAugust 3, 2020
✔ NPI 1104345271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
8731 RUTLEDGE PIKE, Rutledge, TN 37861

Other Names 1

Doing Business AsDuck Family Medicine

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Duck Family Medicine 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 Duck Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1134127343
8731 RUTLEDGE PIKE
Rutledge, TN 37861
(865) 828-5595
✔ PECOSSame 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 for Provider-Performed Microscopy Procedures (PPMP) 44D1061057

Duck Family Medicine · Rutledge, TN
Active · expires Nov 7, 2026
CLIA Number44D1061057
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorDennis H. Duck
Laboratory Phone(865) 548-1297
Laboratory LocationDuck Family Medicine8731 Rutledge Pike PO Box 700, Rutledge, TN 37861
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Dennis H. Duck's NPI number?

The NPI number for Dennis H. Duck is 1104345271. It was assigned to this organization in the NPPES registry on September 11, 2017. The provider is doing business as Duck Family Medicine.

Where is Dennis H. Duck located?

Dennis H. Duck is located at 8731 Rutledge Pike, Rutledge, TN 37861. The listed phone number is (865) 828-5595.

What is Dennis H. Duck's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Dennis H. Duck enrolled in Medicare?

Yes. Dennis H. Duck is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dennis H. Duck?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dennis H. Duck. 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.

Does Dennis H. Duck hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D1061057) is associated with this NPI, valid through November 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dennis H. Duck was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.