FAMILY MEDICINE CENTER
NPI 1376682021
Family Medicine - Adult Medicine in Cleveland, TN

Active since February 06, 2007CLIA 44D0309391 · Waiver
2700 WESTSIDE DR NW, SUITE 103, CLEVELAND, TN 37312(423) 472-1511(423) 479-9202 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Medicine Center NPPES

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

FAMILY MEDICINE CENTER (NPI 1376682021) is a healthcare organization registered as an adult medicine in Cleveland, Tennessee and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Allan C Chastain, Partner, as its authorized official.

NPPES Registry Identity

NPI1376682021
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameFAMILY MEDICINE CENTER
Location Address2700 WESTSIDE DR NW, SUITE 103Cleveland, TN 37312-3699
Mailing Address2700 Westside Dr Nw, Suite 103Cleveland, TN 37312-3699 · (423) 472-1511 · Fax (423) 479-9202
Fax(423) 479-9202
Organization SubpartNo
Authorized OfficialAllan C ChastainPartner · (423) 472-1511
Enumeration DateFebruary 6, 2007
Last NPPES UpdateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
NPI 1376682021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
2700 WESTSIDE DR NW, Cleveland, TN 37312

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 44D0309391

Family Medicine Center · Cleveland, TN
Active · expires Aug 20, 2027
CLIA Number44D0309391
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorDr. Paul D. Boerema
Laboratory Phone(423) 472-1511
Laboratory LocationFamily Medicine Center2700 Westside Dr, NW, Ste 103, Cleveland, TN 37312
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Adult Medicine)
2700 WESTSIDE DR NW, SUITE 103
CLEVELAND, TN 37312
Otolaryngology
2700 WESTSIDE DR NW, SUITE 308
CLEVELAND, TN 37312
Social Worker (Clinical)
2700 WESTSIDE DR NW, STE 309
CLEVELAND, TN 37312
Physical Therapy Assistant
2700 WESTSIDE DR NW, SUITE 103
CLEVELAND, TN 37312
Social Worker (Clinical)
2700 WESTSIDE DR NW, STE 309
CLEVELAND, TN 37312
Family Medicine (Adult Medicine)
2700 WESTSIDE DR NW, SUITE 103
CLEVELAND, TN 37312
Otolaryngology
2700 WESTSIDE DR NW, SUITE 308
CLEVELAND, TN 37312
Family Medicine (Adult Medicine)
2700 WESTSIDE DR NW, SUITE 103
CLEVELAND, TN 37312

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 Family Medicine Center's NPI number?

The NPI number for Family Medicine Center is 1376682021. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is Family Medicine Center located?

Family Medicine Center is located at 2700 Westside Dr NW Suite 103, Cleveland, TN 37312. The listed phone number is (423) 472-1511.

What is Family Medicine Center's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Family Medicine Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0309391) is associated with this NPI, valid through August 20, 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 Family Medicine Center was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.