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FAITH FAMILY WELLNESS CLINIC, PLLC
NPI 1184107302
Clinic/Center - Rural Health in Shelbyville, TN

Active since September 13, 2018
2012 N MAIN ST, SHELBYVILLE, TN 37160(931) 492-5290(931) 492-5292 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2022, May 23, 2022, Sep 26, 2019 and 3 more (6 updates tracked since 2018).

About Faith Family Wellness Clinic, Pllc NPPES

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

FAITH FAMILY WELLNESS CLINIC, PLLC (NPI 1184107302) is a healthcare organization registered as a rural health in Shelbyville, Tennessee and active in the NPI registry since September 2018. The organization lists Kristin Mcbay, Owner, as its authorized official.

NPPES Registry Identity

NPI1184107302
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAITH FAMILY WELLNESS CLINIC, PLLC
Location Address2012 N MAIN STShelbyville, TN 37160-2022
Mailing Address2012 N Main StShelbyville, TN 37160-2022 · (931) 492-5290 · Fax (931) 492-5292
Phone(931) 492-5290
Fax(931) 492-5292
Organization SubpartNo
Authorized OfficialKristin McbayOwner · (931) 492-5290
Enumeration DateSeptember 13, 2018
Last NPPES UpdateJuly 26, 20226 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1184107302 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 · Primary CareTaxonomy 363LP2300X
2012 N MAIN ST, Shelbyville, TN 37160
Open in Google Maps ↗

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 Health, Ambetter of Alabama and more.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)

Faith Family Wellness Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Faith Family Wellness Clinic, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kristin Mcbay, NP-C
Nurse Practitioner
NPI 1093148959
2012 N MAIN ST
Shelbyville, TN 37160
(931) 492-5290
✔ PECOS✔ Accepts MedicareSame address
Staci Garner, FNP
Nurse Practitioner
NPI 1023653037
2012 N MAIN ST
Shelbyville, TN 37160
(931) 703-0829
✔ PECOS✔ Accepts MedicareSame address

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 44D2155651

Faith Family Wellness Clinic · Shelbyville, TN
Expired · Oct 1, 2026
CLIA Number44D2155651
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorKristin Mcbay
Laboratory Phone(931) 492-5290
Laboratory LocationFaith Family Wellness Clinic2012 North Main Street, Shelbyville, TN 37160
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Faith Family Wellness Clinic, PLLC's NPI number?

The NPI number for Faith Family Wellness Clinic, PLLC is 1184107302. It was assigned to this organization in the NPPES registry on September 13, 2018.

Where is Faith Family Wellness Clinic, PLLC located?

Faith Family Wellness Clinic, PLLC is located at 2012 N Main St, Shelbyville, TN 37160. The listed phone number is (931) 492-5290.

What is Faith Family Wellness Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Faith Family Wellness Clinic, PLLC enrolled in Medicare?

Yes. Faith Family Wellness Clinic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Faith Family Wellness Clinic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Faith Family Wellness Clinic, 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Faith Family Wellness Clinic, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Faith Family Wellness 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 Faith Family Wellness Clinic, PLLC was last updated on July 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.