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NORTHSIDE MEDICAL PROFESSIONALS, P.C.
NPI 1275399594
Family Medicine in Lawrenceburg, TN

Active since February 23, 2024CLIA Certified · 5 labs
2656 HIGHWAY 43 N, LAWRENCEBURG, TN 38464(931) 540-4210(931) 380-1202 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Northside Medical Professionals, P.c. NPPES

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

NORTHSIDE MEDICAL PROFESSIONALS, P.C. (NPI 1275399594), doing business as Northside Medical Professionals Lawrenceburg, is a healthcare organization registered as a family medicine in Lawrenceburg, Tennessee and active in the NPI registry since February 2024. The organization holds 5 active CLIA laboratory certificates and lists Carrie Lynn Stewart, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1275399594
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHSIDE MEDICAL PROFESSIONALS, P.C.
Location Address2656 HIGHWAY 43 NLawrenceburg, TN 38464-7498
Mailing Address1605 Nashville Hwy Ste 200Columbia, TN 38401-2132 · (931) 540-4210 · Fax (931) 380-1202
Phone(931) 540-4210
Fax(931) 380-1202
Organization SubpartNo
Authorized OfficialCarrie Lynn StewartBilling Supervisor · (931) 797-0425
Enumeration DateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
✔ NPI 1275399594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2656 HIGHWAY 43 N, Lawrenceburg, TN 38464
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Other Names 1

Doing Business AsNorthside Medical Professionals Lawrenceburg

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 5

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 for Provider-Performed Microscopy Procedures (PPMP) 44D0912746

Northside Medical Professionals PC · Columbia, TN
Active · expires Mar 10, 2028
CLIA Number44D0912746
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorShawn N. Gentry MD
Laboratory Phone(931) 540-4210
Laboratory LocationNorthside Medical Professionals PC1605 Nashville Hwy Ste 200, Columbia, TN 38401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 44D2285143

Northside Medical Professionals, PC · Pulaski, TN
Active · expires Jul 6, 2027
CLIA Number44D2285143
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorDr. Shawn N. Gentry
Laboratory Phone(931) 540-4210
Laboratory LocationNorthside Medical Professionals, PC1414 W College St, Pulaski, TN 38478
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2284695

Northside Medical Professionals, PC · Lewisburg, TN
Active · expires Jun 26, 2027
CLIA Number44D2284695
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorDr. Shawn N. Gentry
Laboratory Phone(931) 540-4210
Laboratory LocationNorthside Medical Professionals, PC641 E Commerce St, Lewisburg, TN 37091
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D2132451

Northside Medical Professionals PC · Columbia, TN
Active · expires Jun 19, 2027
CLIA Number44D2132451
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorDr. Shawn N. Gentry
Laboratory Phone(931) 540-4210
Laboratory LocationNorthside Medical Professionals PC1203 Trotwood Ave, Columbia, TN 38401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 44D2278030

Northside Medical Professionals · Lawrenceburg, TN
Active · expires Mar 8, 2027
CLIA Number44D2278030
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorShawn N. Gentry
Laboratory Phone(931) 540-4210
Laboratory LocationNorthside Medical Professionals2656 Us- 43 North, Lawrenceburg, TN 38464
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 Northside Medical Professionals, P.C.'s NPI number?

The NPI number for Northside Medical Professionals, P.C. is 1275399594. It was assigned to this organization in the NPPES registry on February 23, 2024. The provider is doing business as Northside Medical Professionals Lawrenceburg.

Where is Northside Medical Professionals, P.C. located?

Northside Medical Professionals, P.C. is located at 2656 Highway 43 N, Lawrenceburg, TN 38464. The listed phone number is (931) 540-4210.

What is Northside Medical Professionals, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Northside Medical Professionals, P.C. hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Northside Medical Professionals, P.C. was last updated on February 23, 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.