SOUTHERN COMFORT-PRIMARY AND CHRONIC CARE MANAGEMENT
NPI 1114676038
Clinic/Center - Primary Care in Lawrenceburg, TN
About Southern Comfort-primary And Chronic Care Management NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN COMFORT-PRIMARY AND CHRONIC CARE MANAGEMENT (NPI 1114676038) is a healthcare organization registered as a primary care in Lawrenceburg, Tennessee and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Haley Kimbrell, Fnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Comfort-primary And Chronic Care Management 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 Southern Comfort-Primary And Chronic Care Management, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 of Waiver 44D0315962
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5/5Frequently 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 Southern Comfort-Primary And Chronic Care Management's NPI number?
The NPI number for Southern Comfort-Primary And Chronic Care Management is 1114676038. It was assigned to this organization in the NPPES registry on March 18, 2022.
Where is Southern Comfort-Primary And Chronic Care Management located?
Southern Comfort-Primary And Chronic Care Management is located at 416 N Locust Ave, Lawrenceburg, TN 38464. The listed phone number is (931) 762-8588.
What is Southern Comfort-Primary And Chronic Care Management's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Southern Comfort-Primary And Chronic Care Management enrolled in Medicare?
Yes. Southern Comfort-Primary And Chronic Care Management is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Comfort-Primary And Chronic Care Management?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Southern Comfort-Primary And Chronic Care Management. 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 Southern Comfort-Primary And Chronic Care Management hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D0315962) is associated with this NPI, valid through July 6, 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 Southern Comfort-Primary And Chronic Care Management was last updated on March 18, 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.
# Southern Comfort-Primary And Chronic Care Management · NPI 1114676038
Primary Care organization in Lawrenceburg, Tennessee. Organization record, active in the CMS NPPES registry since March 18, 2022.
## Identity
- **NPI:** 1114676038 (Entity type: Organization)
- **Enumerated:** March 18, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Haley Kimbrell, FNP
## Practice location
- **Address:** 416 N LOCUST AVE, Lawrenceburg, TN 38464-3552
- **Phone:** (931) 762-8588 · **Fax:** (931) 766-1010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 18, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114676038) · Data from the CMS NPPES public registry.