CLINICA HISPANA, PLLC
NPI 1235801176
Family Medicine in Smyrna, TN
About Clinica Hispana, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICA HISPANA, PLLC (NPI 1235801176) is a healthcare organization registered as a family medicine in Smyrna, Tennessee and active in the NPI registry since September 2021. The organization holds a CLIA Certificate of Compliance certificate valid through February 10, 2028 and lists Tammy Bradley, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clinica Hispana, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinica Hispana, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Compliance 44D2276742
Clinica Hispana PLLC · Smyrna, 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 Clinica Hispana, PLLC's NPI number?
The NPI number for Clinica Hispana, PLLC is 1235801176. It was assigned to this organization in the NPPES registry on September 29, 2021.
Where is Clinica Hispana, PLLC located?
Clinica Hispana, PLLC is located at 301 Wolverine Trl Ste 202, Smyrna, TN 37167. The listed phone number is (573) 880-0593.
What is Clinica Hispana, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Clinica Hispana, PLLC enrolled in Medicare?
Yes. Clinica Hispana, PLLC is registered in the Medicare PECOS enrollment system.
When is Clinica Hispana, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Clinica Hispana, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Clinica Hispana, 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 Clinica Hispana, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 44D2276742) is associated with this NPI, valid through February 10, 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 Clinica Hispana, PLLC was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Clinica Hispana, Pllc · NPI 1235801176
Family Medicine organization in Smyrna, Tennessee. Organization record, active in the CMS NPPES registry since September 29, 2021.
## Identity
- **NPI:** 1235801176 (Entity type: Organization)
- **Enumerated:** September 29, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Tammy Bradley, PRACTICE MANAGER
## Practice location
- **Address:** 301 WOLVERINE TRL STE 202, Smyrna, TN 37167-5656
- **Phone:** (573) 880-0593
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2021
- **Other identifiers:** Other 1588858567 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235801176) · Data from the CMS NPPES public registry.