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ATOKA MEDICAL CLINIC, INC
NPI 1104679299
Clinic/Center - Primary Care in Atoka, TN

Active since April 08, 2024CLIA 44D2307574 · Waiver
60 COMMERCIAL DR, ATOKA, TN 38004(901) 296-1156(901) 296-0430 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2024, Jun 4, 2024, May 7, 2024 and 1 more (4 updates tracked since 2024).

About Atoka Medical Clinic, Inc NPPES

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

ATOKA MEDICAL CLINIC, INC (NPI 1104679299) is a healthcare organization registered as a primary care in Atoka, Tennessee and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through July 10, 2028 and lists Katrina Jo Korszoloski, Family Nurse Practitioner, Owner, as its authorized official.

NPPES Registry Identity

NPI1104679299
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameATOKA MEDICAL CLINIC, INC
Location Address60 COMMERCIAL DRAtoka, TN 38004-7042
Mailing Address60 Commercial DrAtoka, TN 38004-7042 · (901) 296-1156 · Fax (901) 296-0430
Phone(901) 296-1156
Fax(901) 296-0430
Organization SubpartNo
Authorized OfficialKatrina Jo KorszoloskiFamily Nurse Practitioner, Owner · (901) 296-1156
Enumeration DateApril 8, 2024
Last NPPES UpdateJanuary 22, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1104679299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
60 COMMERCIAL DR, Atoka, TN 38004
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 44D2307574

Atoka Medical Clinic, Inc · Atoka, TN
Active · expires Jul 10, 2028
CLIA Number44D2307574
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorKatrina J. Korszoloski
Laboratory Phone(901) 296-1156
Laboratory LocationAtoka Medical Clinic, Inc60 Commercial Drive, Atoka, TN 38004
CLIA data matches this NPI record on: Address Name Phone
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.

MRS. KATRINA JO KORSZOLOSKI FNP-C
Nurse Practitioner (Family)
60 COMMERCIAL DR
ATOKA, TN 38004
Tipton County (901) 296-1156
DANA POISAL DC
Chiropractor
60 COMMERCIAL DR, ATOKA CHIROPRACTIC CLINIC
ATOKA, TN 38004
Tipton County (901) 837-9320
SAMUEL E POISAL IV DC
Chiropractor
60 COMMERCIAL DR, ATOKA CHIROPRACTIC CLINIC
ATOKA, TN 38004
Tipton County (901) 837-9320

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 Atoka Medical Clinic, Inc's NPI number?

The NPI number for Atoka Medical Clinic, Inc is 1104679299. It was assigned to this organization in the NPPES registry on April 8, 2024.

Where is Atoka Medical Clinic, Inc located?

Atoka Medical Clinic, Inc is located at 60 Commercial Dr, Atoka, TN 38004. The listed phone number is (901) 296-1156.

What is Atoka Medical Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Atoka Medical Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2307574) is associated with this NPI, valid through July 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atoka Medical Clinic, Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Atoka Medical Clinic, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Atoka Medical Clinic, Inc was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.