MEDICAL SPECIALTIES PLLC
NPI 1265294300
Clinic/Center - Medical Specialty in Decatur, TN

Active since January 24, 2024
16850 STATE HIGHWAY 58 S STE B, DECATUR, TN 37322(423) 507-7961 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Medical Specialties Pllc NPPES

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

MEDICAL SPECIALTIES PLLC (NPI 1265294300) is a healthcare organization registered as a medical specialty in Decatur, Tennessee and active in the NPI registry since January 2024. The organization lists English Paige Roberts, Owner, as its authorized official.

NPPES Registry Identity

NPI1265294300
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMEDICAL SPECIALTIES PLLC
Location Address16850 STATE HIGHWAY 58 S STE BDecatur, TN 37322-5259
Mailing Address16850 State Highway 58 S Ste ADecatur, TN 37322-5259 · (423) 507-7961
Organization SubpartNo
Authorized OfficialEnglish Paige RobertsOwner · (423) 507-7961
Enumeration DateJanuary 24, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1265294300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
16850 STATE HIGHWAY 58 S STE B, Decatur, TN 37322

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Specialties Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Medical Specialties PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1275693921
16850 STATE HIGHWAY 58 S STE A
Decatur, TN 37322
(423) 334-2300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366273104
16850 STATE HIGHWAY 58 S
Decatur, TN 37322
(423) 334-2300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487457974
16850 STATE HIGHWAY 58 S
Decatur, TN 37322
(423) 334-3200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326384991
17619 STATE HIGHWAY 58 N STE C
Decatur, TN 37322
(423) 334-2300
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1306221213
17619 STATE HIGHWAY 58 N SUITE C
Decatur, TN 37322
(423) 334-2300
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1508697681
17619 STATE HIGHWAY 58 N STE C
Decatur, TN 37322
(423) 334-2300
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1932758828
12 WALCON LN APT 2
Athens, TN 37303
(423) 252-7615
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1255804019
3913 GEORGETOWN RD NW
Cleveland, TN 37312
(423) 479-3600
✔ PECOS19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Medical Specialties PLLC's NPI number?

The NPI number for Medical Specialties PLLC is 1265294300. It was assigned to this organization in the NPPES registry on January 24, 2024.

Where is Medical Specialties PLLC located?

Medical Specialties PLLC is located at 16850 State Highway 58 S Ste B, Decatur, TN 37322. The listed phone number is (423) 507-7961.

What is Medical Specialties PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Medical Specialties PLLC enrolled in Medicare?

Yes. Medical Specialties PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Specialties PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Medical Specialties 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. Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Medical Specialties PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Medical Specialties PLLC 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 Medical Specialties PLLC was last updated on January 24, 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.