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: October 18, 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
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

Other Names 1

Doing Business AsTennille Community Health Center

Other Identifiers 4

Medicare OSCAR/certification111861GA
Medicaid300029381AGA
Medicare PINGRP3403GA
Medicaid000521023GGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tennille Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

68

Medicare enrollment records show 68 clinicians reassign Medicare billing to Tennille Community Health Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner41
Family Practice7
Internal Medicine7
Clinical Social Worker4
Chiropractic1
Dentist1
Emergency Medicine1
General Practice1
5 other specialties5

Nearest to this location (20)

See all 68
Family Practice
NPI 1306908546
116 SMITH ST
Tennille, GA 31089
(478) 552-7384
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568997914
116 SMITH ST
Tennille, GA 31089
(478) 552-7384
✔ PECOSSame address
Nurse Practitioner
NPI 1699403758
116 SMITH ST
Tennille, GA 31089
(478) 552-7384
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306920954
116 SMITH ST
Tennille, GA 31089
(478) 552-7384
✔ PECOSSame address
Podiatry
NPI 1023353497
116 SMITH ST
Tennille, GA 31089
(478) 864-3448
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659787034
116 SMITH ST
Tennille, GA 31089
(478) 552-1620
✔ PECOSSame address
Clinical Social Worker
NPI 1093525255
220 MORNINGSIDE DR
Sandersville, GA 31082
(478) 241-2427
✔ PECOS✔ Accepts Medicare2.6 mi
Nurse Practitioner
NPI 1306150412
501 SPARTA RD STE F
Sandersville, GA 31082
(478) 552-0001
✔ PECOS4.0 mi
Nurse Practitioner
NPI 1659356038
616 FERNCREST DR
Sandersville, GA 31082
(478) 553-1620
✔ PECOS4.3 mi
Nurse Practitioner
NPI 1508045840
616 FERNCREST DR
Sandersville, GA 31082
(478) 864-3448
✔ PECOS4.3 mi
Chiropractic
NPI 1508449034
616 FERNCREST DR
Sandersville, GA 31082
(478) 552-1620
✔ Accepts Medicare4.3 mi
Nurse Practitioner
NPI 1174728349
616 FERNCREST DR
Sandersville, GA 31082
(478) 864-3448
✔ PECOS4.5 mi
Family Practice
NPI 1104131671
4530 BAY SPRINGS RD
Warthen, GA 31094
(678) 371-4655
✔ PECOS9.3 mi
Nurse Practitioner
NPI 1164899787
2160 W ELM ST
Wrightsville, GA 31096
(478) 864-3446
✔ PECOS15 mi
Nurse Practitioner
NPI 1164881454
2160 W ELM ST
Wrightsville, GA 31096
(478) 864-2600
✔ PECOS15 mi
Nurse Practitioner
NPI 1932275542
2251 W ELM ST
Wrightsville, GA 31096
(478) 864-3448
✔ PECOS15 mi
Internal Medicine
NPI 1225102908
2251 W ELM ST
Wrightsville, GA 31096
(478) 864-3448
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1134199045
2251 W ELM ST
Wrightsville, GA 31096
(478) 864-3448
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1881645570
2251 W ELM ST
Wrightsville, GA 31096
(478) 864-3448
✔ PECOS15 mi
Family Practice
NPI 1508810227
144 EAST MAIN ST
Irwinton, GA 31042
(478) 864-3448
✔ PECOS✔ Accepts Medicare22 mi
See all 68 clinicians

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) 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.

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.

Is Community Health Care Systems, Inc. enrolled in Medicare?

Yes. Community Health Care Systems, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Community Health Care Systems, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 13 Medicare specialties reassign their Medicare billing to Community Health Care Systems, Inc.. 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. The largest specialties are Nurse Practitioner (41), Family Practice (7) and Internal Medicine (7). Of these, 6 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.