PROMED PREFERRED TN 2 PLLC
NPI 1184576548
Family Medicine in Fayetteville, TN
About Promed Preferred Tn 2 Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROMED PREFERRED TN 2 PLLC (NPI 1184576548) is a healthcare organization registered as a family medicine in Fayetteville, Tennessee and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Lev Grinman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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)
Promed Preferred Tn 2 Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Promed Preferred Tn 2 PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 44D2340385
Promed Preferred Tn 2 PLLC · Fayetteville, 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 Promed Preferred Tn 2 PLLC's NPI number?
The NPI number for Promed Preferred Tn 2 PLLC is 1184576548. It was assigned to this organization in the NPPES registry on February 10, 2026.
Where is Promed Preferred Tn 2 PLLC located?
Promed Preferred Tn 2 PLLC is located at 2893 Huntsville Hwy Ste B, Fayetteville, TN 37334. The listed phone number is (931) 297-1050.
What is Promed Preferred Tn 2 PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Promed Preferred Tn 2 PLLC enrolled in Medicare?
Yes. Promed Preferred Tn 2 PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Promed Preferred Tn 2 PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Promed Preferred Tn 2 PLLC, in Family Practice and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Promed Preferred Tn 2 PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2340385) is associated with this NPI, valid through March 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Promed Preferred Tn 2 PLLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Promed Preferred Tn 2 Pllc · NPI 1184576548
Family Medicine organization in Fayetteville, Tennessee. Organization record, active in the CMS NPPES registry since February 10, 2026.
## Identity
- **NPI:** 1184576548 (Entity type: Organization)
- **Enumerated:** February 10, 2026
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Lev Grinman, PRESIDENT
## Practice location
- **Address:** 2893 HUNTSVILLE HWY STE B, Fayetteville, TN 37334-6681
- **Phone:** (931) 297-1050 · **Fax:** (844) 749-1106
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184576548) · Data from the CMS NPPES public registry.