ADVANCED FAMILY MEDICAL CENTER
NPI 1467957126
Clinic/Center - Rural Health in Middleton, TN
About Advanced Family Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED FAMILY MEDICAL CENTER (NPI 1467957126) is a healthcare organization registered as a rural health in Middleton, Tennessee and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through September 24, 2028 and lists William V Caicedo, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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)
Advanced Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Family Medical Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 44D2155166
Advanced Family Medical Center · Middleton, 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 Advanced Family Medical Center's NPI number?
The NPI number for Advanced Family Medical Center is 1467957126. It was assigned to this organization in the NPPES registry on March 26, 2018.
Where is Advanced Family Medical Center located?
Advanced Family Medical Center is located at 101 Main St N, Middleton, TN 38052. The listed phone number is (731) 472-2147.
What is Advanced Family Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Advanced Family Medical Center enrolled in Medicare?
Yes. Advanced Family Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Family Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Advanced Family Medical Center. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Advanced Family Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2155166) is associated with this NPI, valid through September 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Advanced Family Medical Center accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Advanced Family Medical Center 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 Advanced Family Medical Center was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Advanced Family Medical Center · NPI 1467957126
Rural Health organization in Middleton, Tennessee. Organization record, active in the CMS NPPES registry since March 26, 2018.
## Identity
- **NPI:** 1467957126 (Entity type: Organization)
- **Enumerated:** March 26, 2018
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** William Caicedo, NP
## Practice location
- **Address:** 101 MAIN ST N, Middleton, TN 38052-3433
- **Phone:** (731) 472-2147 · **Fax:** (731) 472-2148
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2019
- **Other identifiers:** Medicaid Q001019 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467957126) · Data from the CMS NPPES public registry.