COMPASSION CARE CLINIC
NPI 1164982443
Family Medicine in Clarksville, TN
About Compassion Care Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMPASSION CARE CLINIC (NPI 1164982443) is a healthcare organization registered as a family medicine in Clarksville, Tennessee and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through October 17, 2027, maintains a secondary practice location in Clarksville, and lists Stacey Michelin, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Group Practice 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)
Compassion Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Compassion Care Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (10)
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
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 44D2067589
Compassion Care Clinic · Clarksville, 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 Compassion Care Clinic's NPI number?
The NPI number for Compassion Care Clinic is 1164982443. It was assigned to this organization in the NPPES registry on March 22, 2019. The provider is also known as Stacey Michelin.
Where is Compassion Care Clinic located?
Compassion Care Clinic is located at 2443 Old Russellville Pike, Clarksville, TN 37040. The listed phone number is (931) 542-9010.
What is Compassion Care Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Compassion Care Clinic enrolled in Medicare?
Yes. Compassion Care Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Compassion Care Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Compassion Care Clinic. 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. Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Compassion Care Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2067589) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Compassion Care Clinic was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Compassion Care Clinic · NPI 1164982443
Family Medicine organization in Clarksville, Tennessee. Organization record, active in the CMS NPPES registry since March 22, 2019.
## Identity
- **NPI:** 1164982443 (Entity type: Organization)
- **Enumerated:** March 22, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Stacey Michelin (Other Name)
- **Organization subpart:** No
- **Authorized official:** Stacey Michelin, OFFICE MANAGER
## Practice location
- **Address:** 2443 OLD RUSSELLVILLE PIKE, Clarksville, TN 37040
- **Phone:** (931) 542-9010 · **Fax:** (931) 919-0286
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2025
- **Other identifiers:** Medicaid Q044516 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164982443) · Data from the CMS NPPES public registry.