DYERSBURG FAMILY WALK-IN CLINIC LLC
NPI 1174712780
Clinic/Center - Rural Health in Dyersburg, TN
About Dyersburg Family Walk-in Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYERSBURG FAMILY WALK-IN CLINIC LLC (NPI 1174712780), doing business as Reelfoot Family Walk-in Clinic, is a healthcare organization registered as a rural health in Dyersburg, Tennessee and active in the NPI registry since October 2007. The organization holds a CLIA Certificate of Compliance certificate valid through July 1, 2028 and lists Christy Littlejohn, Sr. Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
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)
Dyersburg Family Walk-in Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
43Medicare enrollment records show 43 clinicians reassign Medicare billing to Dyersburg Family Walk-In Clinic LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 43Source: 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 Compliance 44D2076179
Dyersburg Family Walk-In Clinic, LLC Dba Reelfoot Family Walk In Clinic · Dyersburg, 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 Dyersburg Family Walk-In Clinic LLC's NPI number?
The NPI number for Dyersburg Family Walk-In Clinic LLC is 1174712780. It was assigned to this organization in the NPPES registry on October 19, 2007. The provider is doing business as Reelfoot Family Walk-In Clinic.
Where is Dyersburg Family Walk-In Clinic LLC located?
Dyersburg Family Walk-In Clinic LLC is located at 1954 St John Ave Suite 1, Dyersburg, TN 38024. The listed phone number is (731) 285-6110.
What is Dyersburg Family Walk-In Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Dyersburg Family Walk-In Clinic LLC enrolled in Medicare?
Yes. Dyersburg Family Walk-In Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dyersburg Family Walk-In Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 5 Medicare specialties reassign their Medicare billing to Dyersburg Family Walk-In Clinic LLC. 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 (33), Clinical Social Worker (5) and Emergency Medicine (2). Of these, 4 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dyersburg Family Walk-In Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 44D2076179) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dyersburg Family Walk-In Clinic LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Dyersburg Family Walk-In Clinic LLC 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 Dyersburg Family Walk-In Clinic LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dyersburg Family Walk-In Clinic Llc · NPI 1174712780
Rural Health organization in Dyersburg, Tennessee. Organization record, active in the CMS NPPES registry since October 19, 2007.
## Identity
- **NPI:** 1174712780 (Entity type: Organization)
- **Enumerated:** October 19, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Reelfoot Family Walk-In Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Christy Littlejohn, SR. MANAGER
## Practice location
- **Address:** 1954 ST JOHN AVE, SUITE 1, Dyersburg, TN 38024
- **Phone:** (731) 285-6110 · **Fax:** (731) 285-6964
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 43 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (33), Clinical Social Worker (5), Emergency Medicine (2); 4 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1174712780/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2026
- **Other identifiers:** Medicaid 37424857 (TN); Medicaid 448913 (TN); Medicaid 448940 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174712780) · Data from the CMS NPPES public registry.