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SALE CREEK FAMILY PRACTICE, PLLC
NPI 1225352164
Family Medicine in Sale Creek, TN

Active since March 22, 2010CLIA 44D0993797 · Waiver
108 GRIFFITH ST, SALE CREEK, TN 37373(423) 332-1813(423) 332-7732 Get Directions Write a Review

NPPES record last updated: March 22, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sale Creek Family Practice, Pllc NPPES

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

SALE CREEK FAMILY PRACTICE, PLLC (NPI 1225352164) is a healthcare organization registered as a family medicine in Sale Creek, Tennessee and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Daniel T. Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1225352164
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSALE CREEK FAMILY PRACTICE, PLLC
Location Address108 GRIFFITH STSale Creek, TN 37373-9715
Mailing AddressPo Box 746Chattanooga, TN 37401-0746 · (423) 877-2312 · Fax (423) 877-5855
Phone(423) 332-1813
Fax(423) 332-7732
Organization SubpartNo
Authorized OfficialDaniel T. BlackOwner · (423) 332-1813
Enumeration DateMarch 22, 2010
✔ NPI 1225352164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 1671
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.
108 GRIFFITH ST, Sale Creek, TN 37373
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sale Creek Family Practice, Pllc 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 Sale Creek Family Practice, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Daniel Black, DO
Family Practice
NPI 1194726604
108 GRIFFITH ST
Sale Creek, TN 37373
(423) 332-1813
✔ PECOS✔ Accepts MedicareSame address

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 44D0993797

Sale Creek Family Practice PLLC · Sale Creek, TN
Active · expires Jun 7, 2027
CLIA Number44D0993797
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorDr. Daniel T. Black
Laboratory Phone(423) 332-1813
Laboratory LocationSale Creek Family Practice PLLC108 Griffith Street, Sale Creek, TN 37373
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sale Creek Family Practice, PLLC's NPI number?

The NPI number for Sale Creek Family Practice, PLLC is 1225352164. It was assigned to this organization in the NPPES registry on March 22, 2010.

Where is Sale Creek Family Practice, PLLC located?

Sale Creek Family Practice, PLLC is located at 108 Griffith St, Sale Creek, TN 37373. The listed phone number is (423) 332-1813.

What is Sale Creek Family Practice, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sale Creek Family Practice, PLLC enrolled in Medicare?

Yes. Sale Creek Family Practice, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sale Creek Family Practice, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Sale Creek Family Practice, PLLC. 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.

Does Sale Creek Family Practice, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0993797) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sale Creek Family Practice, PLLC was last updated on March 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.