PORTLAND FAMILY WELLNESS
NPI 1457719064
Family Medicine in Portland, TN
About Portland Family Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORTLAND FAMILY WELLNESS (NPI 1457719064) is a healthcare organization registered as a family medicine in Portland, Tennessee and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through September 17, 2028 and lists Charlotte Lawrence, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Portland Family Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
110Medicare enrollment records show 110 clinicians reassign Medicare billing to Portland Family Wellness, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 23
Nearest to this location (20)
See all 110Source: 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 44D2350983
Sumner Physician Practices LLC · Portland, 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 Sumner Physician Practices LLC's NPI number?
The NPI number for Sumner Physician Practices LLC is 1457719064. It was assigned to this organization in the NPPES registry on February 10, 2016. The provider is doing business as Portland Family Wellness.
Where is Sumner Physician Practices LLC located?
Sumner Physician Practices LLC is located at 700 S Broadway St, Portland, TN 37148. The listed phone number is (615) 325-3100.
What is Sumner Physician Practices LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sumner Physician Practices LLC enrolled in Medicare?
Yes. Sumner Physician Practices LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sumner Physician Practices LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 110 clinicians in 23 Medicare specialties reassign their Medicare billing to Sumner Physician Practices LLC. 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. The largest specialties are Nurse Practitioner (31), Family Practice (25) and Obstetrics/Gynecology (7). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sumner Physician Practices LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2350983) is associated with this NPI, valid through September 17, 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 Sumner Physician Practices LLC was last updated on October 13, 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.
# Portland Family Wellness · NPI 1457719064
Family Medicine organization in Portland, Tennessee. Organization record, active in the CMS NPPES registry since February 10, 2016.
## Identity
- **NPI:** 1457719064 (Entity type: Organization)
- **Enumerated:** February 10, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Sumner Physician Practices Llc
- **Organization subpart:** No
- **Authorized official:** Charlotte Lawrence, SECRETARY
## Practice location
- **Address:** 700 S BROADWAY ST, Portland, TN 37148-1625
- **Phone:** (615) 325-3100 · **Fax:** (615) 325-0076
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 110 clinicians in 23 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (31), Family Practice (25), Obstetrics/Gynecology (7); 5 practice within 10 miles; [full list](https://npiprofile.com/npi/1457719064/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457719064) · Data from the CMS NPPES public registry.