CLOCKTOWER MEDICAL GROUP, LLC
NPI 1427895200
Family Medicine in Rome, GA

Active since July 10, 2024CLIA 11D2310478 · Waiver

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clocktower Medical Group, Llc NPPES

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

CLOCKTOWER MEDICAL GROUP, LLC (NPI 1427895200) is a healthcare organization registered as a family medicine in Rome, Georgia and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through September 3, 2028 and lists Brian Douglas Mcniece, President, as its authorized official.

NPPES Registry Identity

NPI1427895200
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLOCKTOWER MEDICAL GROUP, LLC
Location Address306 E 6TH AVERome, GA 30161-6008
Mailing Address306 E 6th AveRome, GA 30161-6008 · (706) 262-7850
Organization SubpartNo
Authorized OfficialBrian Douglas McniecePresident · (706) 262-7850
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1427895200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
306 E 6TH AVE, Rome, GA 30161

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)

Clocktower Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Clocktower Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1255626024
306 E 6TH AVE
Rome, GA 30161
(706) 262-7850
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083874119
1825 MARTHA BERRY BLVD NW
Rome, GA 30165
(706) 238-8012
✔ PECOS✔ Accepts Medicare1.9 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 11D2310478

Clocktower Medical Group, LLC · Rome, GA
Active · expires Sep 3, 2028
CLIA Number11D2310478
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2026
Certificate Expiration DateSeptember 3, 2028
Laboratory DirectorBrian D. Mcniece
Laboratory Phone(706) 262-7850
Laboratory LocationClocktower Medical Group, LLC306 E 6th Avenue, Rome, GA 30161
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 Clocktower Medical Group, LLC's NPI number?

The NPI number for Clocktower Medical Group, LLC is 1427895200. It was assigned to this organization in the NPPES registry on July 10, 2024.

Where is Clocktower Medical Group, LLC located?

Clocktower Medical Group, LLC is located at 306 E 6th Ave, Rome, GA 30161. The listed phone number is (706) 262-7850.

What is Clocktower Medical Group, LLC's specialty?

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

Is Clocktower Medical Group, LLC enrolled in Medicare?

Yes. Clocktower Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clocktower Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Clocktower Medical Group, LLC, 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clocktower Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2310478) is associated with this NPI, valid through September 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clocktower Medical Group, LLC was last updated on July 10, 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.