FAMILY MEDICAL CENTER OF DECHERD INC.
NPI 1124218631
Nurse Practitioner - Family in Winchester, TN

Q: What is Family Medical Center Of Decherd Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since July 31, 2007CLIA 44D0981032 · Microscopy

3651 TULLAHOMA HWY, WINCHESTER, TN 37398(931) 962-4082(931) 962-4084 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Family Medical Center Of Decherd Inc. NPPES

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

FAMILY MEDICAL CENTER OF DECHERD INC. (NPI 1124218631) is a healthcare organization registered as a family in Winchester, Tennessee and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through December 17, 2026 and lists Kimberly A. Perry, President/family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1124218631

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameFAMILY MEDICAL CENTER OF DECHERD INC.

Location Address3651 TULLAHOMA HWYWinchester, TN 37398-4940

Mailing Address3651 Tullahoma HwyWinchester, TN 37398-4940 · (931) 962-4082 · Fax (931) 962-4084

Phone(931) 962-4082

Fax(931) 962-4084

Organization SubpartNo

Authorized OfficialKimberly A. PerryPresident/family Nurse Practitioner · (931) 962-4082

Enumeration DateJuly 31, 2007

Last NPPES UpdateAugust 6, 2008

✔ NPI 1124218631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 6754

3651 TULLAHOMA HWY, Winchester, TN 37398

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Other Identifiers 5

Other3724619TN · Railroad Medicare

Medicare UPINS11830TN

Other3341708TN · Medicare Ppn

Medicaid3724619TN

Medicare PIN3724619TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 44D0981032

Family Medical Center Of Dercherd, Inc · Winchester, TN

Active · expires Dec 17, 2026

CLIA Number44D0981032

Laboratory TypePractitioner Other

Certificate Effective DateDecember 18, 2024

Certificate Expiration DateDecember 17, 2026

Laboratory DirectorKimberly A. Perry

Laboratory Phone(931) 962-4082

Laboratory LocationFamily Medical Center Of Dercherd, Inc3651 Tullahoma Hwy, Winchester, TN 37398

CLIA data matches this NPI record on: Address 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

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

MRS. KIMBERLY ANN PERRY FNP

Nurse Practitioner (Family)

3651 TULLAHOMA HWY
WINCHESTER, TN 37398

Franklin County (931) 962-4082

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 Family Medical Center Of Decherd Inc.'s NPI number?

The NPI number for Family Medical Center Of Decherd Inc. is 1124218631. It was assigned to this organization in the NPPES registry on July 31, 2007.

Where is Family Medical Center Of Decherd Inc. located?

Family Medical Center Of Decherd Inc. is located at 3651 Tullahoma Hwy, Winchester, TN 37398. The listed phone number is (931) 962-4082.

What is Family Medical Center Of Decherd Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Family Medical Center Of Decherd Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0981032) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Medical Center Of Decherd 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 Family Medical Center Of Decherd 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 Family Medical Center Of Decherd Inc. was last updated on August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.