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

Active since July 19, 2013CLIA 44D2062861 · Waiver
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: August 09, 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 holds a CLIA Waiver certificate valid through July 22, 2027 and 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

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 44D2062861

Hometown Family Medical Clinic · Jamestown, TN
Active · expires Jul 22, 2027
CLIA Number44D2062861
Laboratory TypePractitioner Other
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorConnie Lee
Laboratory Phone(931) 879-8794
Laboratory LocationHometown Family Medical Clinic418 B West Central Avenue, Jamestown, TN 38556
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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.

Internal Medicine
418 B WEST CENTRAL AVENUE
JAMESTOWN, TN 38556

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.

Does Hometown Family Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2062861) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hometown Family Medical Clinic PLLC 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 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 13 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.