DICKSON COMMUNITY CLINIC, INC.
NPI 1225611692
Clinic/Center - Rural Health in Dickson, TN

Q: What is Dickson Community Clinic, Inc.'s NPI number?

The NPI number for Dickson Community Clinic, Inc. is 1225611692. It was assigned to this organization in the NPPES registry on May 3, 2021.

Q: What is Dickson Community Clinic, Inc.'s specialty?

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

Active since May 03, 2021CLIA 44D2145405 · Waiver

114 HIGHWAY 70 E STE A-5, DICKSON, TN 37055(615) 441-1486(615) 441-1493 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2022, Oct 12, 2021, May 3, 2021 (3 updates tracked since 2021).

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About Dickson Community Clinic, Inc. NPPES

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

DICKSON COMMUNITY CLINIC, INC. (NPI 1225611692) is a healthcare organization registered as a rural health in Dickson, Tennessee and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Vicki Marie Terry, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1225611692

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameDICKSON COMMUNITY CLINIC, INC.

Location Address114 HIGHWAY 70 E STE A-5Dickson, TN 37055-7030

Mailing Address114 Highway 70 E Ste A-5Dickson, TN 37055-7030 · (615) 441-1486 · Fax (615) 441-1493

Phone(615) 441-1486

Fax(615) 441-1493

Organization SubpartNo

Authorized OfficialVicki Marie TerryExecutive Director · (615) 979-4105

Enumeration DateMay 3, 2021

Last NPPES UpdateMay 9, 20223 updates tracked since enumeration

NPPES CertifiedMay 9, 2022

✔ NPI 1225611692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

114 HIGHWAY 70 E STE A-5, Dickson, TN 37055

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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 44D2145405

Dickson Community Clinic · Dickson, TN

Active · expires Mar 5, 2028

CLIA Number44D2145405

Laboratory TypePhysician Office

Certificate Effective DateMarch 6, 2026

Certificate Expiration DateMarch 5, 2028

Laboratory DirectorDr. Kerry W. Ross

Laboratory Phone(615) 441-1486

Laboratory LocationDickson Community Clinic114 Highway 70E Ste 5, Dickson, TN 37055

CLIA data matches this NPI record on: 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 Dickson Community Clinic, Inc.'s NPI number?

The NPI number for Dickson Community Clinic, Inc. is 1225611692. It was assigned to this organization in the NPPES registry on May 3, 2021.

Where is Dickson Community Clinic, Inc. located?

Dickson Community Clinic, Inc. is located at 114 Highway 70 E Ste A-5, Dickson, TN 37055. The listed phone number is (615) 441-1486.

What is Dickson Community Clinic, Inc.'s specialty?

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

Does Dickson Community Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2145405) is associated with this NPI, valid through March 5, 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 Dickson Community Clinic, Inc. was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.