ARDMORE FAMILY MEDICAL CLINIC
NPI 1194835645
Family Medicine in Ardmore, TN
About Ardmore Family Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARDMORE FAMILY MEDICAL CLINIC (NPI 1194835645) is a healthcare organization registered as a family medicine in Ardmore, Tennessee and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Deborah R Verbeek, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
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)
Ardmore Family Medical Clinic 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 Ardmore Family Medical Clinic, 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 44D0941788
Ardmore Family Medical Clinic · Ardmore, 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 Deborah Verbeek's NPI number?
The NPI number for Deborah Verbeek is 1194835645. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Ardmore Family Medical Clinic.
Where is Deborah Verbeek located?
Deborah Verbeek is located at 25495 Main St, Ardmore, TN 38449. The listed phone number is (931) 427-6969.
What is Deborah Verbeek's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Deborah Verbeek enrolled in Medicare?
Yes. Deborah Verbeek is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deborah Verbeek?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Deborah Verbeek. 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 Deborah Verbeek hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D0941788) is associated with this NPI, valid through March 2, 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 Deborah Verbeek was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Ardmore Family Medical Clinic · NPI 1194835645
Family Medicine organization in Ardmore, Tennessee. Organization record, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1194835645 (Entity type: Organization)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Deborah Verbeek
- **Organization subpart:** No
- **Authorized official:** Deborah Verbeek, OWNER
## Practice location
- **Address:** 25495 MAIN ST, Ardmore, TN 38449-3129
- **Phone:** (931) 427-6969 · **Fax:** (931) 427-6967
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2010
- **Other identifiers:** Medicaid 529905610 (AL); Medicare PIN 3712867 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194835645) · Data from the CMS NPPES public registry.