HERMITAGE FAMILY PRACTICE LLC
NPI 1245983030
Nurse Practitioner - Family in Hermitage, TN

Q: What is Hermitage Family Practice LLC's NPI number?

The NPI number for Hermitage Family Practice LLC is 1245983030. It was assigned to this organization in the NPPES registry on February 1, 2022.

Q: What is Hermitage Family Practice LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 01, 2022CLIA 44D2267521 · Waiver

4243 LEBANON PIKE STE A, HERMITAGE, TN 37076(615) 874-9888(615) 883-6899 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hermitage Family Practice Llc NPPES

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

HERMITAGE FAMILY PRACTICE LLC (NPI 1245983030) is a healthcare organization registered as a family in Hermitage, Tennessee and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through August 25, 2026 and lists Jill Welbern, Owner, as its authorized official.

NPPES Registry Identity

NPI1245983030

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameHERMITAGE FAMILY PRACTICE LLC

Location Address4243 LEBANON PIKE STE AHermitage, TN 37076-2170

Mailing Address4243 Lebanon Pike Ste AHermitage, TN 37076-2170 · (615) 874-9888 · Fax (615) 883-6899

Phone(615) 874-9888

Fax(615) 883-6899

Organization SubpartNo

Authorized OfficialJill WelbernOwner · (615) 874-9888

Enumeration DateFebruary 1, 2022

Last NPPES UpdateJune 29, 2023

NPPES CertifiedJune 29, 2023

✔ NPI 1245983030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

4243 LEBANON PIKE STE A, Hermitage, TN 37076

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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

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 44D2267521

Hermitage Family Practice LLC · Hermitage, TN

Active · expires Aug 25, 2026

CLIA Number44D2267521

Laboratory TypePractitioner Other

Certificate Effective DateAugust 26, 2024

Certificate Expiration DateAugust 25, 2026

Laboratory DirectorJill Welbern Tibbetts

Laboratory Phone(615) 874-9888

Laboratory LocationHermitage Family Practice LLC4243 Lebanon Pike, Suite A, Hermitage, TN 37076

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

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

JILL WELBERN TIBBETTS FNP

Nurse Practitioner (Family)

4243 LEBANON PIKE STE A
HERMITAGE, TN 37076

Davidson County (615) 874-9888

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 Hermitage Family Practice LLC's NPI number?

The NPI number for Hermitage Family Practice LLC is 1245983030. It was assigned to this organization in the NPPES registry on February 1, 2022.

Where is Hermitage Family Practice LLC located?

Hermitage Family Practice LLC is located at 4243 Lebanon Pike Ste A, Hermitage, TN 37076. The listed phone number is (615) 874-9888.

What is Hermitage Family Practice LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Hermitage Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2267521) is associated with this NPI, valid through August 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hermitage Family Practice LLC was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.