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MCMINNVILLE MEDICAL ASSOCIATES PLLC
NPI 1104937267
Internal Medicine in Mc Minnville, TN

Active since August 31, 2006CLIA 44D0967308 · Waiver
1514 SPARTA ST, MC MINNVILLE, TN 37110(931) 473-8400(931) 473-0620 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mcminnville Medical Associates Pllc NPPES

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

MCMINNVILLE MEDICAL ASSOCIATES PLLC (NPI 1104937267) is a healthcare organization registered as an internal medicine in Mc Minnville, Tennessee and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Harry E Burck, Gen Ptr, as its authorized official.

NPPES Registry Identity

NPI1104937267
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMCMINNVILLE MEDICAL ASSOCIATES PLLC
Location Address1514 SPARTA STMc Minnville, TN 37110-1317
Mailing Address1514 Sparta StMc Minnville, TN 37110-1317 · (931) 473-8400 · Fax (931) 473-0620
Phone(931) 473-8400
Fax(931) 473-0620
Organization SubpartNo
Authorized OfficialHarry E BurckGen Ptr · (931) 473-8400
Enumeration DateAugust 31, 2006
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1104937267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1514 SPARTA ST, Mc Minnville, TN 37110
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Other Identifiers 1

Medicaid3719411TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 44D0967308

Mcminnville Medical Associates, PLLC · Mcminnville, TN
Active · expires Apr 30, 2027
CLIA Number44D0967308
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorDr. Michael Stewart
Laboratory Phone(931) 473-8400
Laboratory LocationMcminnville Medical Associates, PLLC1514 Sparta Street, Mcminnville, TN 37110
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MR. PHILIP STEWART FNP-BC
Nurse Practitioner (Family)
1514 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (931) 473-8400
SHAUNA SAMUEL MSN, APRN, FNP-C
Nurse Practitioner (Family)
1514 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (931) 473-8400
CHRISTOPHER JENKINS NP
Nurse Practitioner (Family)
1514 SPARTA ST
MCMINNVILLE, TN 37110
Warren County (931) 473-8400
DR. MICHAEL T. STEWART MD
Family Medicine
1514 SPARTA ST
MC MINNVILLE, TN 37110
Warren County (931) 473-8400
DR. HARRY E. BURCK JR. MD
Internal Medicine
1514 SPARTA ST
MC MINNVILLE, TN 37110
Warren County (931) 473-8400
DR. RANDAL DON RAMPP MD
Internal Medicine
1514 SPARTA ST
MC MINNVILLE, TN 37110
Warren County (931) 473-8400
JEANINE JACOBS N.P.
Nurse Practitioner (Family)
1514 SPARTA ST
MC MINNVILLE, TN 37110
Warren County (931) 473-8400
DR. JOE R. TROOP JR. M.D.
Family Medicine
1514 SPARTA ST
MC MINNVILLE, TN 37110
Warren County (931) 473-8400

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 Mcminnville Medical Associates PLLC's NPI number?

The NPI number for Mcminnville Medical Associates PLLC is 1104937267. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Mcminnville Medical Associates PLLC located?

Mcminnville Medical Associates PLLC is located at 1514 Sparta St, Mc Minnville, TN 37110. The listed phone number is (931) 473-8400.

What is Mcminnville Medical Associates PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mcminnville Medical Associates PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0967308) is associated with this NPI, valid through April 30, 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 Mcminnville Medical Associates PLLC was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.