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ARDMORE FAMILY MEDICAL CLINIC
NPI 1194835645
Family Medicine in Ardmore, TN

Active since August 30, 2006CLIA 44D0941788 · Waiver
25495 MAIN ST, ARDMORE, TN 38449(931) 427-6969(931) 427-6967 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1194835645
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEBORAH VERBEEK
Location Address25495 MAIN STArdmore, TN 38449-3129
Mailing Address25495 Main StArdmore, TN 38449-3129 · (931) 427-6969 · Fax (931) 427-6967
Phone(931) 427-6969
Fax(931) 427-6967
Organization SubpartNo
Authorized OfficialDeborah R VerbeekOwner · (931) 427-6969
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 9, 2010
✔ NPI 1194835645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
25495 MAIN ST, Ardmore, TN 38449
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Other Names 1

Doing Business AsArdmore Family Medical Clinic

Other Identifiers 2

Medicaid529905610AL
Medicare PIN3712867TN

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 SINGLE SPECIALTY GROUP

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, TN
Active · expires Mar 2, 2028
CLIA Number44D0941788
Laboratory TypePractitioner Other
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorDeborah R. Verbeek
Laboratory Phone(931) 427-6968
Laboratory LocationArdmore Family Medical Clinic26495 Main St, Ardmore, TN 38449
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH RUTH VERBEEK CFNP, MSN
Nurse Practitioner
25495 MAIN ST
ARDMORE, TN 38449
Lincoln County (931) 427-6969
NICHOLAS CHRISTOFIDIS APRN, FNP-C
Nurse Practitioner (Family)
25495 MAIN ST
ARDMORE, TN 38449
Lincoln County (931) 427-6969

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 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.

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 with the weekly NPPES data releases published by CMS.