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MARTIN CHILDREN'S CLINIC, LLC
NPI 1194049064
Clinic/Center - Rural Health in Martin, TN

Active since March 22, 2010
130 COMMONS DR, MARTIN, TN 38237(731) 587-5138(731) 587-0552 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Martin Children's Clinic, Llc NPPES

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

MARTIN CHILDREN'S CLINIC, LLC (NPI 1194049064) is a healthcare organization registered as a rural health in Martin, Tennessee and active in the NPI registry since March 2010. The organization lists Sharon Pierce Page, Owner, as its authorized official.

NPPES Registry Identity

NPI1194049064
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMARTIN CHILDREN'S CLINIC, LLC
Location Address130 COMMONS DRMartin, TN 38237-3879
Mailing Address130 Commons DrMartin, TN 38237-3879 · (731) 587-5138 · Fax (731) 587-0552
Phone(731) 587-5138
Fax(731) 587-0552
Organization SubpartNo
Authorized OfficialSharon Pierce PageOwner · (731) 587-5138
Enumeration DateMarch 22, 2010
Last NPPES UpdateMay 9, 2017
✔ NPI 1194049064 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
License✔ Licensed in TN · 12549
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 12549 (TN)
130 COMMONS DR, Martin, TN 38237
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martin Children's Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Martin Children's Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sharon Page, CPNP
Nurse Practitioner
NPI 1497898407
215 HAWKS RD SUITE 3
Martin, TN 38237
(731) 681-1577
✔ PECOS0.1 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 of Compliance 44D2004808

Martin Children's Clinic, LLC · Martin, TN
Expired · Oct 27, 2026
CLIA Number44D2004808
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorDr. Susan S. Lowry
Laboratory Phone(731) 587-5138
Laboratory LocationMartin Children's Clinic, LLC130 Commons Dr, Martin, TN 38237
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Martin Children's Clinic, LLC's NPI number?

The NPI number for Martin Children's Clinic, LLC is 1194049064. It was assigned to this organization in the NPPES registry on March 22, 2010.

Where is Martin Children's Clinic, LLC located?

Martin Children's Clinic, LLC is located at 130 Commons Dr, Martin, TN 38237. The listed phone number is (731) 587-5138.

What is Martin Children's Clinic, LLC's specialty?

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

Is Martin Children's Clinic, LLC enrolled in Medicare?

Yes. Martin Children's Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Martin Children's Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Martin Children's 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Martin Children's Clinic, LLC was last updated on May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.