TLC FAMILY CARE PC - NPI 1164649356 - Internal Medicine in Sparta, TN

Q: What is Tlc Family Care PC's NPI number?

The NPI number for Tlc Family Care PC is 1164649356. It was assigned to this organization in the NPPES registry on April 19, 2007.

Q: What is Tlc Family Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Tlc Family Care Pc NPPES

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

TLC FAMILY CARE PC (NPI 1164649356) is a healthcare organization registered as an internal medicine in Sparta, Tennessee and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 12, 2028 and lists Doug Dodson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1164649356

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameTLC FAMILY CARE PC

Location Address705 HOWELL STSparta, TN 38583-1008

Mailing Address705 Howell StSparta, TN 38583-1008 · (931) 739-0048 · Fax (931) 739-0047

Phone(931) 739-0048

Fax(931) 739-0047

Organization SubpartNo

Authorized OfficialDoug DodsonOffice Manager · (931) 739-0048

Enumeration DateApril 19, 2007

Last NPPES UpdateJune 14, 2010

✔ NPI 1164649356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X

705 HOWELL ST, Sparta, TN 38583

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Other Identifiers 3

Medicare ID-Type Unspecified3732621

Medicare UPINI08790TN

Medicaid3732621TN

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 MULTIPLE 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 of Waiver 44D1050782

Tlc Family Care PC · Sparta, TN

Active · expires Feb 12, 2028

CLIA Number44D1050782

Laboratory TypePhysician Office

Certificate Effective DateFebruary 13, 2026

Certificate Expiration DateFebruary 12, 2028

Laboratory DirectorMollie Dodson

Laboratory Phone(931) 739-0048

Laboratory LocationTlc Family Care PC705 Howell Street, Sparta, TN 38583

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 8

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

SARAH MADISON PETTY

Counselor (Mental Health)