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HEARTLAND FAMILY CLINIC, LLC
NPI 1497575666
Family Medicine in Jackson, TN

Active since October 14, 2024CLIA 44D2315269 · Waiver
16 MURRAY GUARD DR STE B, JACKSON, TN 38305(731) 574-9778(731) 574-9779 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heartland Family Clinic, Llc NPPES

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

HEARTLAND FAMILY CLINIC, LLC (NPI 1497575666) is a healthcare organization registered as a family medicine in Jackson, Tennessee and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Candace Rowland, Owner, as its authorized official.

NPPES Registry Identity

NPI1497575666
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEARTLAND FAMILY CLINIC, LLC
Location Address16 MURRAY GUARD DR STE BJackson, TN 38305-3751
Mailing Address16 Murray Guard Dr Ste BJackson, TN 38305-3751
Phone(731) 574-9778
Fax(731) 574-9779
Organization SubpartNo
Authorized OfficialCandace RowlandOwner · (731) 574-9778
Enumeration DateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1497575666 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.
16 MURRAY GUARD DR STE B, Jackson, TN 38305
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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)

Heartland Family Clinic, Llc 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 Heartland Family Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Candace Rowland, A.P.N.
Nurse Practitioner
NPI 1467583021
16 MURRAY GUARD DR STE B
Jackson, TN 38305
(731) 574-9779
✔ PECOS✔ Accepts MedicareSame address

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 44D2315269

Heartland Family Clinic, LLC · Jackson, TN
Active · expires Dec 9, 2026
CLIA Number44D2315269
Laboratory TypePractitioner Other
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorCandace Rowland
Laboratory Phone(731) 574-9778
Laboratory LocationHeartland Family Clinic, LLC16 B Murray Guard Drive, Jackson, TN 38305
CLIA data matches this NPI record on: 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 Heartland Family Clinic, LLC's NPI number?

The NPI number for Heartland Family Clinic, LLC is 1497575666. It was assigned to this organization in the NPPES registry on October 14, 2024.

Where is Heartland Family Clinic, LLC located?

Heartland Family Clinic, LLC is located at 16 Murray Guard Dr Ste B, Jackson, TN 38305. The listed phone number is (731) 574-9778.

What is Heartland Family Clinic, LLC's specialty?

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

Is Heartland Family Clinic, LLC enrolled in Medicare?

Yes. Heartland Family Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heartland Family Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Heartland Family Clinic, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Heartland Family Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2315269) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heartland Family Clinic, LLC was last updated on October 14, 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.