MADISON FAMILY PRACTICE
NPI 1407086101
Clinic/Center - Rural Health in Jackson, TN

Active since July 16, 2009CLIA 44D1105124 · Waiver
621 OLD HICKORY BLVD, SUITE G, JACKSON, TN 38305(731) 660-6402(731) 660-6402 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Family Practice NPPES

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

MADISON FAMILY PRACTICE (NPI 1407086101) is a healthcare organization registered as a rural health in Jackson, Tennessee and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through July 18, 2028 and lists Heather N Mcfarland, Owner, as its authorized official.

NPPES Registry Identity

NPI1407086101
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMADISON FAMILY PRACTICE
Location Address621 OLD HICKORY BLVD, SUITE GJackson, TN 38305-2907
Mailing Address621 Old Hickory Blvd, Suite GJackson, TN 38305-2907 · (731) 660-6402 · Fax (731) 660-6402
Fax(731) 660-6402
Organization SubpartNo
Authorized OfficialHeather N McfarlandOwner · (731) 660-6402
Enumeration DateJuly 16, 2009
Last NPPES UpdateApril 24, 2023
NPPES CertifiedApril 24, 2023
NPI 1407086101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
621 OLD HICKORY BLVD, Jackson, TN 38305

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 44D1105124

Madison Family Practice · Jackson, TN
Active · expires Jul 18, 2028
CLIA Number44D1105124
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2026
Certificate Expiration DateJuly 18, 2028
Laboratory DirectorHeather Mcfarland
Laboratory Phone(731) 660-6402
Laboratory LocationMadison Family Practice621 G-Old Hickory Blvd, Jackson, TN 38305
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
621 OLD HICKORY BLVD, SUITE G
JACKSON, TN 38305

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 Madison Family Practice's NPI number?

The NPI number for Madison Family Practice is 1407086101. It was assigned to this organization in the NPPES registry on July 16, 2009.

Where is Madison Family Practice located?

Madison Family Practice is located at 621 Old Hickory Blvd Suite G, Jackson, TN 38305. The listed phone number is (731) 660-6402.

What is Madison Family Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Madison Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1105124) is associated with this NPI, valid through July 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Madison Family Practice accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Madison Family Practice 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 Madison Family Practice was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.