TLC FAMILY HEALTH & HORMONE PLLC
NPI 1164993689
Nurse Practitioner - Family in Tullahoma, TN

Active since December 10, 2018CLIA 44D2165773 · Microscopy
215 S ANDERSON ST, TULLAHOMA, TN 37388(931) 563-7464(931) 563-7401 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tlc Family Health & Hormone Pllc NPPES

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

TLC FAMILY HEALTH & HORMONE PLLC (NPI 1164993689) is a healthcare organization registered as a family in Tullahoma, Tennessee and active in the NPI registry since December 2018. The organization holds a CLIA Microscopy certificate valid through December 31, 2026 and lists Dana Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1164993689
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTLC FAMILY HEALTH & HORMONE PLLC
Location Address215 S ANDERSON STTullahoma, TN 37388-3735
Mailing AddressPo Box 326Winchester, TN 37398-0326 · (931) 563-7464 · Fax (931) 563-7401
Fax(931) 563-7401
Organization SubpartNo
Authorized OfficialDana JacksonOwner · (931) 563-7464
Enumeration DateDecember 10, 2018
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1164993689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
215 S ANDERSON ST, Tullahoma, TN 37388

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)

Tlc Family Health & Hormone Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Tlc Family Health & Hormone PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1669941290
215 S ANDERSON ST
Tullahoma, TN 37388
(931) 563-7464
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306330840
215 S ANDERSON ST
Tullahoma, TN 37388
(931) 563-7464
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1871462960
215 S ANDERSON ST
Tullahoma, TN 37388
(931) 563-7464
✔ PECOS✔ Accepts Medicare0.3 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 44D2165773

Tlc Family Health & Hormone, PLLC · Tullahoma, TN
Active · expires Dec 31, 2026
CLIA Number44D2165773
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorBrett A. Jackson
Laboratory Phone(931) 563-7464
Laboratory LocationTlc Family Health & Hormone, PLLC215 S Anderson Street, Tullahoma, TN 37388
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Tlc Family Health & Hormone PLLC's NPI number?

The NPI number for Tlc Family Health & Hormone PLLC is 1164993689. It was assigned to this organization in the NPPES registry on December 10, 2018.

Where is Tlc Family Health & Hormone PLLC located?

Tlc Family Health & Hormone PLLC is located at 215 S Anderson St, Tullahoma, TN 37388. The listed phone number is (931) 563-7464.

What is Tlc Family Health & Hormone PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tlc Family Health & Hormone PLLC enrolled in Medicare?

Yes. Tlc Family Health & Hormone PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tlc Family Health & Hormone PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Tlc Family Health & Hormone 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tlc Family Health & Hormone PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2165773) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tlc Family Health & Hormone PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tlc Family Health & Hormone 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 Tlc Family Health & Hormone PLLC was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.