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TENNILLE COMMUNITY HEALTH CENTER
NPI 1104876390
Clinic/Center - Federally Qualified Health Center (FQHC) in Tennille, GA

Active since May 11, 2006CLIA 11D0977037 · Microscopy
116 SMITH ST, TENNILLE, GA 31089(478) 552-7384(478) 552-1198 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tennille Community Health Center NPPES

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

TENNILLE COMMUNITY HEALTH CENTER (NPI 1104876390) is a healthcare organization registered as a federally qualified health center (fqhc) in Tennille, Georgia and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through March 17, 2028 and lists Lynn W Price, Insurance Supervisor, as its authorized official.

NPPES Registry Identity

NPI1104876390
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY HEALTH CARE SYSTEMS, INC.
Location Address116 SMITH STTennille, GA 31089-1465
Mailing Address2251 W Elm StWrightsville, GA 31096-2017 · (478) 864-3448 · Fax (478) 864-1288
Phone(478) 552-7384
Fax(478) 552-1198
Organization SubpartNo
Authorized OfficialLynn W PriceInsurance Supervisor · (478) 864-3448
Enumeration DateMay 11, 2006
Last NPPES UpdateNovember 22, 2011
✔ NPI 1104876390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
116 SMITH ST, Tennille, GA 31089
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Other Names 1

Doing Business AsTennille Community Health Center

Other Identifiers 4

Medicare OSCAR/certification111861GA
Medicaid300029381AGA
Medicare PINGRP3403GA
Medicaid000521023GGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter 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 for Provider-Performed Microscopy Procedures (PPMP) 11D0977037

Tennille Community Health Center · Tennille, GA
Active · expires Mar 17, 2028
CLIA Number11D0977037
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorCrystal D. Owens
Laboratory Phone(478) 864-3448
Laboratory LocationTennille Community Health Center116 South Smith Street, Tennille, GA 31089
CLIA data matches this NPI record on: Name Phone
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALESHA MICHELLE EDWARDS D.P.M.
Podiatrist (Foot & Ankle Surgery)
116 SMITH ST
TENNILLE, GA 31089
Washington County (478) 864-3448
DR. TANYA YVONNE JONES M.D.
Family Medicine
116 SMITH ST
TENNILLE, GA 31089
Washington County (478) 552-1620
DR. BRIDGETT C BAILEY D.O.
Family Medicine
116 SMITH ST
TENNILLE, GA 31089
Washington County (478) 552-7384
MISS JANE PAULK FNP-BC
Nurse Practitioner
116 SMITH ST
TENNILLE, GA 31089
Washington County (478) 552-7384
DEBRA DURDEN APRN
Nurse Practitioner (Adult Health)
116 SMITH ST
TENNILLE, GA 31089
Washington County (478) 552-7384
NICOLE STANLEY JACKSON NP-C
Nurse Practitioner (Family)
116 SMITH ST
TENNILLE, GA 31089
Washington County (478) 552-1620
STEPHANIE T MCBURROUGH FNP-C
Family Medicine
116 SMITH ST
TENNILLE, GA 31089
Washington County (478) 552-7384

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 Community Health Care Systems, Inc.'s NPI number?

The NPI number for Community Health Care Systems, Inc. is 1104876390. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as Tennille Community Health Center.

Where is Community Health Care Systems, Inc. located?

Community Health Care Systems, Inc. is located at 116 Smith St, Tennille, GA 31089. The listed phone number is (478) 552-7384.

What is Community Health Care Systems, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Community Health Care Systems, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0977037) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Health Care Systems, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Community Health Care Systems, 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 Community Health Care Systems, Inc. was last updated on November 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.