CALVARY MEDICAL
NPI 1366997637
Clinic/Center - Primary Care in Tazewell, TN
About Calvary Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALVARY MEDICAL (NPI 1366997637) is a healthcare organization registered as a primary care in Tazewell, Tennessee and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Gary Wayne Brown, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Calvary Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Calvary Medical, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 44D2117749
Brown Family Practice, Inc Dba Calvary Medical · Tazewell, 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 Brown Family Practice, Inc.'s NPI number?
The NPI number for Brown Family Practice, Inc. is 1366997637. It was assigned to this organization in the NPPES registry on August 16, 2016. The provider is doing business as Calvary Medical.
Where is Brown Family Practice, Inc. located?
Brown Family Practice, Inc. is located at 1582 N Broad St Suite 2, Tazewell, TN 37879. The listed phone number is (423) 626-0277.
What is Brown Family Practice, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Brown Family Practice, Inc. enrolled in Medicare?
Yes. Brown Family Practice, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brown Family Practice, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Brown Family Practice, Inc.. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Brown Family Practice, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2117749) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Brown Family Practice, Inc. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Brown Family Practice, Inc. 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 Brown Family Practice, Inc. was last updated on June 26, 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.
# Calvary Medical · NPI 1366997637
Primary Care organization in Tazewell, Tennessee. Organization record, active in the CMS NPPES registry since August 16, 2016.
## Identity
- **NPI:** 1366997637 (Entity type: Organization)
- **Enumerated:** August 16, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Brown Family Practice, Inc.
- **Organization subpart:** No
- **Authorized official:** Gary Brown, OWNER
## Practice location
- **Address:** 1582 N BROAD ST, SUITE 2, Tazewell, TN 37879-4352
- **Phone:** (423) 626-0277 · **Fax:** (423) 626-0082
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2024
- **Other identifiers:** Other APN 14103 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366997637) · Data from the CMS NPPES public registry.