ROCKVALE FAMILY PRACTICE, LLC
NPI 1326578147
Nurse Practitioner - Family in Rockvale, TN
About Rockvale Family Practice, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROCKVALE FAMILY PRACTICE, LLC (NPI 1326578147) is a healthcare organization registered as a family in Rockvale, Tennessee and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Penny Marie Matthews, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rockvale Family Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Rockvale Family Practice, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 44D2132482
Rockvale Family Practice · Rockvale, 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 Rockvale Family Practice, LLC's NPI number?
The NPI number for Rockvale Family Practice, LLC is 1326578147. It was assigned to this organization in the NPPES registry on June 14, 2017.
Where is Rockvale Family Practice, LLC located?
Rockvale Family Practice, LLC is located at 7800 Highway 99, Rockvale, TN 37153. The listed phone number is (931) 224-2973.
What is Rockvale Family Practice, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rockvale Family Practice, LLC enrolled in Medicare?
Yes. Rockvale Family Practice, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rockvale Family Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rockvale Family Practice, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rockvale Family Practice, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2132482) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Rockvale Family Practice, LLC was last updated on March 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Rockvale Family Practice, Llc · NPI 1326578147
Family organization in Rockvale, Tennessee. Organization record, active in the CMS NPPES registry since June 14, 2017.
## Identity
- **NPI:** 1326578147 (Entity type: Organization)
- **Enumerated:** June 14, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Penny Matthews, NURSE PRACTITIONER
## Practice location
- **Address:** 7800 HIGHWAY 99, Rockvale, TN 37153-4137
- **Phone:** (931) 224-2973
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2019
- **Other identifiers:** Medicaid Q012937 (TN)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1326578147) · Data from the CMS NPPES public registry.