PERRY COUNTY MEDICAL CENTER, INC.
NPI 1134937345
Clinic/Center - Dental in Linden, TN
About Perry County Medical Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PERRY COUNTY MEDICAL CENTER, INC. (NPI 1134937345) is a healthcare organization registered as a dental in Linden, Tennessee and active in the NPI registry since December 2024. The organization holds 2 active CLIA laboratory certificates and lists Phillip Tatum, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Perry County Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Perry County Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (20)
Lyles, TN 37098
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 2
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 44D2335037
Perry County Dental Clinic · Linden, TNCertificate of Compliance 44D0307350
Perry County Medical Center, Inc Dba Three Rivers Community Health Group · Linden, TNFrequently 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 Perry County Medical Center, Inc.'s NPI number?
The NPI number for Perry County Medical Center, Inc. is 1134937345. It was assigned to this organization in the NPPES registry on December 19, 2024. The provider is also known as Perry County Dental Clinic.
Where is Perry County Medical Center, Inc. located?
Perry County Medical Center, Inc. is located at 153 W Main St, Linden, TN 37096. The listed phone number is (931) 589-2104.
What is Perry County Medical Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Perry County Medical Center, Inc. enrolled in Medicare?
Yes. Perry County Medical Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Perry County Medical Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 6 Medicare specialties reassign their Medicare billing to Perry County Medical Center, 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 (12), Dentist (3) and Clinical Social Worker (2). Of these, 1 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Perry County Medical Center, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Perry County Medical Center, Inc. was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Perry County Medical Center, Inc. · NPI 1134937345
Dental organization in Linden, Tennessee. Organization record, active in the CMS NPPES registry since December 19, 2024.
## Identity
- **NPI:** 1134937345 (Entity type: Organization)
- **Enumerated:** December 19, 2024
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Also known as:** Perry County Dental Clinic (Other Name)
- **Organization subpart:** No
- **Authorized official:** Phillip Tatum, CEO
## Practice location
- **Address:** 153 W MAIN ST, Linden, TN 37096-7001
- **Phone:** (931) 589-2104
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Dentist (3), Clinical Social Worker (2); 1 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1134937345) · Data from the CMS NPPES public registry.