HOMETOWN FAMILY MEDICAL CLINIC PLLC
NPI 1154763134
Clinic/Center - Rural Health in Jamestown, TN

Active since July 19, 2013
418 B WEST CENTRAL AVENUE, JAMESTOWN, TN 38556(931) 879-8794(931) 879-8887 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hometown Family Medical Clinic Pllc NPPES

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

HOMETOWN FAMILY MEDICAL CLINIC PLLC (NPI 1154763134) is a healthcare organization registered as a rural health in Jamestown, Tennessee and active in the NPI registry since July 2013. The organization lists Connie Sue Lee, Partner, as its authorized official.

NPPES Registry Identity

NPI1154763134
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHOMETOWN FAMILY MEDICAL CLINIC PLLC
Location Address418 B WEST CENTRAL AVENUEJamestown, TN 38556
Mailing AddressPo Box 950Jamestown, TN 38556-0950 · (931) 879-8794 · Fax (931) 879-8887
Fax(931) 879-8887
Organization SubpartNo
Authorized OfficialConnie Sue LeePartner · (931) 879-8794
Enumeration DateJuly 19, 2013
Last NPPES UpdateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
✔ NPI 1154763134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN0000015369 (TN)
418 B WEST CENTRAL AVENUE, Jamestown, TN 38556

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hometown Family Medical Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Hometown Family Medical Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1538967088
418B CENTRAL AVE W
Jamestown, TN 38556
(931) 879-8794
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215239231
418B CENTRAL AVE W
Jamestown, TN 38556
(931) 879-8794
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669857850
129 HILLCREST DR
Byrdstown, TN 38549
(931) 864-3162
✔ PECOS✔ Accepts Medicare15 mi
Family Practice
NPI 1376592782
315 N WASHINGTON AVE SUITE 130
Cookeville, TN 38501
(931) 526-1050
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1033350152
200 NEW YORK AVE STE 200
Oak Ridge, TN 37830
(865) 835-5400
✔ PECOS✔ Accepts Medicare48 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Hometown Family Medical Clinic PLLC's NPI number?

The NPI number for Hometown Family Medical Clinic PLLC is 1154763134. It was assigned to this organization in the NPPES registry on July 19, 2013.

Where is Hometown Family Medical Clinic PLLC located?

Hometown Family Medical Clinic PLLC is located at 418 B West Central Avenue, Jamestown, TN 38556. The listed phone number is (931) 879-8794.

What is Hometown Family Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Hometown Family Medical Clinic PLLC enrolled in Medicare?

Yes. Hometown Family Medical Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hometown Family Medical Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Hometown Family Medical Clinic PLLC. 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 (4) and Family Practice (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Hometown Family Medical Clinic PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Hometown Family Medical Clinic PLLC 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 Hometown Family Medical Clinic PLLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.