HOMETOWN HEALTH CLINIC
NPI 1225083991
Clinic/Center - Rural Health in Gleason, TN

Q: What is Mckenzie Medical Center, PC's NPI number?

The NPI number for Mckenzie Medical Center, PC is 1225083991. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Hometown Health Clinic.

Q: What is Mckenzie Medical Center, PC's specialty?

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

Active since May 23, 2006CLIA 44D0873445 · Waiver

105 N CEDAR ST, GLEASON, TN 38229(731) 648-5634(833) 690-3848 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 6, 2024, Apr 5, 2021, Mar 19, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Hometown Health Clinic NPPES

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

HOMETOWN HEALTH CLINIC (NPI 1225083991) is a healthcare organization registered as a rural health in Gleason, Tennessee and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Tammy Etheridge, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1225083991

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameMCKENZIE MEDICAL CENTER, PC

Location Address105 N CEDAR STGleason, TN 38229-7264

Mailing Address205a Hospital DrMc Kenzie, TN 38201-1649 · (731) 352-7907 · Fax (833) 690-3848

Phone(731) 648-5634

Fax(833) 690-3848

Organization SubpartNo

Authorized OfficialTammy EtheridgeChief Operating Officer · (731) 352-7907

Enumeration DateMay 23, 2006

Last NPPES UpdateMay 6, 20244 updates tracked since enumeration

NPPES CertifiedMay 6, 2024

✔ NPI 1225083991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedOptometristTaxonomy 152W00000X · License ODT1599 (TN)

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD23833 (TN)

Also ListedInternal MedicineTaxonomy 207R00000X · License APN15541 (TN)

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN15541 (TN)

105 N CEDAR ST, Gleason, TN 38229

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Other Names 1

Doing Business AsHometown Health Clinic

Other Identifiers 3

Medicaid3730458TN

Other3380640TN · Group Medicaid

Other3380640TN · Medicare Group

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 44D0873445

Gleason Clinic, The Dba Hometown Health Clinic · Gleason, TN

Active · expires Jul 22, 2027

CLIA Number44D0873445

Laboratory TypeOther

Certificate Effective DateJuly 23, 2025

Certificate Expiration DateJuly 22, 2027

Laboratory DirectorTerry Colotta

Laboratory Phone(731) 648-5634

Laboratory LocationGleason Clinic, The Dba Hometown Health Clinic105 North Cedar Street, Gleason, TN 38229

CLIA data matches this NPI record on: Address Name Phone

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.

TANYA LYNN JACKSON FNP-BC

Nurse Practitioner (Family)

105 N CEDAR ST
GLEASON, TN 38229

Weakley County (731) 648-5634

CLAYTON JAMES KING PA-C

Physician Assistant

105 N CEDAR ST
GLEASON, TN 38229

Weakley County (731) 648-5634

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 Mckenzie Medical Center, PC's NPI number?

The NPI number for Mckenzie Medical Center, PC is 1225083991. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Hometown Health Clinic.

Where is Mckenzie Medical Center, PC located?

Mckenzie Medical Center, PC is located at 105 N Cedar St, Gleason, TN 38229. The listed phone number is (731) 648-5634.

What is Mckenzie Medical Center, PC's specialty?

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

Does Mckenzie Medical Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0873445) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mckenzie Medical Center, PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mckenzie Medical Center, PC 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 Mckenzie Medical Center, PC was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.