HOMETOWN MEDICAL CLINIC
NPI 1275280273
Clinic/Center - Primary Care in Bean Station, TN
About Hometown Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOMETOWN MEDICAL CLINIC (NPI 1275280273) is a healthcare organization registered as a primary care in Bean Station, Tennessee and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through March 8, 2028 and lists Ashley Mckinney, Member/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hometown Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Hometown Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 44D2255008
Hometown Medical Clinic · Bean Station, 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 Hometown Medical Clinic's NPI number?
The NPI number for Hometown Medical Clinic is 1275280273. It was assigned to this organization in the NPPES registry on March 9, 2022.
Where is Hometown Medical Clinic located?
Hometown Medical Clinic is located at 1034 Main St Ste B, Bean Station, TN 37708. The listed phone number is (865) 203-5077.
What is Hometown Medical Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Hometown Medical Clinic enrolled in Medicare?
Yes. Hometown Medical Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hometown Medical Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Hometown Medical Clinic. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hometown Medical Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2255008) is associated with this NPI, valid through March 8, 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 Hometown Medical Clinic was last updated on March 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.
# Hometown Medical Clinic · NPI 1275280273
Primary Care organization in Bean Station, Tennessee. Organization record, active in the CMS NPPES registry since March 9, 2022.
## Identity
- **NPI:** 1275280273 (Entity type: Organization)
- **Enumerated:** March 9, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ashley Mckinney, MEMBER/MANAGER
## Practice location
- **Address:** 1034 MAIN ST STE B, Bean Station, TN 37708-4257
- **Phone:** (865) 203-5077
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275280273) · Data from the CMS NPPES public registry.