MCKENZIE MEDICAL CENTER
NPI 1477747293
Family Medicine in Mc Kenzie, TN

NPI Status: Active since September 05, 2007

Contact Information

205 HOSPITAL DR
SUITE A
MC KENZIE, TN
ZIP 38201
Phone: (731) 352-7907
Fax: (731) 352-4459

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  • Organization
  • Family Medicine
  • CLIA Number: 44D2343073
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-29-2028

About MCKENZIE MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Mckenzie Medical Center, a primary care provider established in Mc Kenzie, Tennessee operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1477747293 assigned on September 2007. The practitioner's primary taxonomy code is 207Q00000X with license number MD23833 (TN). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Mckenzie Medical Center. The authorized official of this NPI record is Mrs. Lisa K Page (Credentialing Manager)

NPI
1477747293
Provider Legal Name
MCKENZIE MEDICAL CENTER LAB
Other Organization Name
MCKENZIE MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
205 HOSPITAL DR SUITE A MC KENZIE, TN 38201
Location Phone
(731) 352-7907
Location Fax
(731) 352-4459
Mailing Address
205 HOSPITAL DR SUITE A MC KENZIE, TN 38201
Mailing Phone
(731) 352-7907
Mailing Fax
(731) 352-4459
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-05-2007
Last Update Date
08-27-2019
Code Navigator

A primary care provider (PCP) like Mckenzie Medical Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD23833
License State
TN
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

 
2291U00000XLaboratories

Clinical Medical Laboratory

MD23833 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LISA K PAGE

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(731) 352-7907

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3380640MEDICAID (05)TN 
44D0315280OTHER (01)CLIA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2343073
Facility Type
Physician Office
Certificate Effective Date
April 30, 2026
Certificate Expiration Date
April 29, 2028
Laboratory Director
TERRY A. COLOTTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mckenzie Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MCKENZIE MEDICAL CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477747293, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 4 + 4 + 1 + 4 + 2 + 1 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1477747293.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Urology
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Dietitian, Registered
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Nurse Practitioner (Adult Health)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Pharmacist
205 HOSPITAL DR
MC KENZIE, TN 38201
Physician Assistant
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Pediatrics
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Clinic/Center (Sleep Disorder Diagnostic)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Clinic/Center (Radiology)
205 HOSPITAL DR, SUITE C
MC KENZIE, TN 38201
Physician Assistant
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Durable Medical Equipment & Medical Supplies
205 HOSPITAL DR
MC KENZIE, TN 38201
Nurse Practitioner (Family)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Physician Assistant
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Orthopaedic Surgery
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Durable Medical Equipment & Medical Supplies
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Clinic/Center (Urgent Care)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Internal Medicine
205 HOSPITAL DR, STE A
MC KENZIE, TN 38201
Nurse Practitioner (Family)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Nurse Practitioner (Family)
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201
Obstetrics & Gynecology
205 HOSPITAL DR, SUITE A
MC KENZIE, TN 38201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477747293, enumerated as an "organization" on September 05, 2007.

The provider is located at 205 HOSPITAL DR SUITE A MC KENZIE, TN 38201 and the phone number is (731) 352-7907.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.