MADISON FAMILY PRACTICE
NPI 1407086101
Clinic/Center - Rural Health in Jackson, TN
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
Specialties & Licenses 2
Group Practice 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)
Madison Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Madison Family Practice, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 44D1105124
Madison Family Practice · Jackson, 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 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.
Is Madison Family Practice enrolled in Medicare?
Yes. Madison Family Practice is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Madison Family Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Madison Family Practice. 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 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer 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.
# Madison Family Practice · NPI 1407086101
Rural Health organization in Jackson, Tennessee. Organization record, active in the CMS NPPES registry since July 16, 2009.
## Identity
- **NPI:** 1407086101 (Entity type: Organization)
- **Enumerated:** July 16, 2009
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Heather Mcfarland, OWNER
## Practice location
- **Address:** 621 OLD HICKORY BLVD, SUITE G, Jackson, TN 38305-2907
- **Phone:** (731) 660-6402 · **Fax:** (731) 660-6402
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1407086101) · Data from the CMS NPPES public registry.