PARKWAY MEDICAL GROUP, PC
NPI 1285748962
Family Medicine in Fayetteville, TN

Active since August 18, 2006CLIA 44D0988465 · Microscopy
108 MEDICAL CENTER BLVD, SUITE G-50, FAYETTEVILLE, TN 37334(931) 438-4111(931) 438-6108 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Parkway Medical Group, Pc NPPES

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

PARKWAY MEDICAL GROUP, PC (NPI 1285748962) is a healthcare organization registered as a family medicine in Fayetteville, Tennessee and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through June 27, 2027 and lists Rebecca L Mitchell, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1285748962
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePARKWAY MEDICAL GROUP, PC
Location Address108 MEDICAL CENTER BLVD, SUITE G-50Fayetteville, TN 37334-2741
Mailing Address108 Medical Center Blvd, Suite G-50Fayetteville, TN 37334-2741 · (931) 438-4111 · Fax (931) 438-6108
Fax(931) 438-6108
Organization SubpartNo
Authorized OfficialRebecca L MitchellBusiness Manager · (931) 438-4111
Enumeration DateAugust 18, 2006
Last NPPES UpdateAugust 14, 2008
✔ NPI 1285748962 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.
108 MEDICAL CENTER BLVD, Fayetteville, TN 37334

Other Identifiers 1

Medicare NSC1285748962TN

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

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)

Parkway Medical Group, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Parkway Medical Group, PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Family Practice
NPI 1043357916
108 MEDICAL CENTER BLVD SUITE G-50
Fayetteville, TN 37334
(931) 438-4111
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1497862999
108 MEDICAL CENTER BLVD SUITE G-50
Fayetteville, TN 37334
(931) 438-4111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891443313
108 MEDICAL CENTER BLVD
Fayetteville, TN 37334
(931) 438-4111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386142024
108 MEDICAL CENTER BLVD STE G50
Fayetteville, TN 37334
(931) 438-4111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235996000
108 MEDICAL CENTER BLVD STE G50
Fayetteville, TN 37334
(931) 438-4111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528618162
108 MEDICAL CENTER BLVD STE G-50
Fayetteville, TN 37334
(931) 438-4111
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1326052408
108 MEDICAL CENTER BLVD SUITE G 50
Fayetteville, TN 37334
(931) 438-4111
✔ PECOS✔ Accepts Medicare0.1 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 44D0988465

Parkway Medical Group PC · Fayetteville, TN
Active · expires Jun 27, 2027
CLIA Number44D0988465
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorDr. William D. Hughes
Laboratory Phone(931) 438-4111
Laboratory LocationParkway Medical Group PC108 Medical Center Blvd Suite G-50, Fayetteville, TN 37334
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.

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 Parkway Medical Group, PC's NPI number?

The NPI number for Parkway Medical Group, PC is 1285748962. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is Parkway Medical Group, PC located?

Parkway Medical Group, PC is located at 108 Medical Center Blvd Suite G-50, Fayetteville, TN 37334. The listed phone number is (931) 438-4111.

What is Parkway Medical Group, PC's specialty?

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

Is Parkway Medical Group, PC enrolled in Medicare?

Yes. Parkway Medical Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Parkway Medical Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Parkway Medical Group, PC. 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. The largest specialties are Nurse Practitioner (4) and Family Practice (3). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Parkway Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D0988465) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Parkway Medical Group, PC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Parkway Medical Group, PC 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 Parkway Medical Group, PC was last updated on August 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.