CANNON COUNTY HEALTHCARE PC
NPI 1386667244
Family Medicine in Woodbury, TN

Active since July 25, 2006CLIA 44D0307990 · Waiver
205 S MCCRARY ST, WOODBURY, TN 37190(615) 563-2891(615) 563-4582 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Cannon County Healthcare Pc NPPES

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

CANNON COUNTY HEALTHCARE PC (NPI 1386667244), doing business as Woodbury Medical Center, is a healthcare organization registered as a family medicine in Woodbury, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Jeff Todd, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1386667244
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCANNON COUNTY HEALTHCARE PC
Location Address205 S MCCRARY STWoodbury, TN 37190-1439
Mailing Address205 S Mccrary StWoodbury, TN 37190-1420 · (615) 563-2891 · Fax (615) 563-4582
Fax(615) 563-4582
Organization SubpartNo
Authorized OfficialJeff ToddPhysician Owner · (615) 563-2891
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1386667244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · MD34850
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.
205 S MCCRARY ST, Woodbury, TN 37190

Other Names 2

Doing Business AsWoodbury Medical Center
Doing Business AsWoodbury Medical Clinic

Other Identifiers 1

Medicaid3370878TN

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cannon County Healthcare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Cannon County Healthcare PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1467381855
205 S MCCRARY ST
Woodbury, TN 37190
(615) 563-2891
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1700823713
205 S MCCRARY ST
Woodbury, TN 37190
(615) 563-2891
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144273061
530 W ADAMS ST
Woodbury, TN 37190
(615) 962-3675
✔ PECOS✔ Accepts Medicare0.5 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 of Waiver 44D0307990

Cannon Co Healthcare, PC Dba Woodbury Medical Center · Woodbury, TN
Active · expires Apr 13, 2027
CLIA Number44D0307990
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorDr. Jeffrey L. Todd
Laboratory Phone(615) 563-2891
Laboratory LocationCannon Co Healthcare, PC Dba Woodbury Medical Center205 South Mccrary St, Woodbury, TN 37190
CLIA data matches this NPI record on: Address 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 Cannon County Healthcare PC's NPI number?

The NPI number for Cannon County Healthcare PC is 1386667244. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as Woodbury Medical Center and Woodbury Medical Clinic.

Where is Cannon County Healthcare PC located?

Cannon County Healthcare PC is located at 205 S Mccrary St, Woodbury, TN 37190. The listed phone number is (615) 563-2891.

What is Cannon County Healthcare PC's specialty?

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

Is Cannon County Healthcare PC enrolled in Medicare?

Yes. Cannon County Healthcare PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cannon County Healthcare PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cannon County Healthcare PC, in Family Practice and Nurse Practitioner. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cannon County Healthcare PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0307990) is associated with this NPI, valid through April 13, 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 Cannon County Healthcare PC was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.