FAMILY MEDICAL CLINIC OF TREZEVANT
NPI 1538703897
Clinic/Center - Rural Health in Trezevant, TN
About Family Medical Clinic Of Trezevant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY MEDICAL CLINIC OF TREZEVANT (NPI 1538703897) is a healthcare organization registered as a rural health in Trezevant, Tennessee and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through October 25, 2027, maintains a secondary practice location in Jackson, and lists Deborah Kay Leggett, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 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)
Family Medical Clinic Of Trezevant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Family Medical Clinic Of Trezevant, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 44D2138925
Family Medical Clinic Of Trezevant · Trezevant, 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 Family Medical Clinic Of Trezevant's NPI number?
The NPI number for Family Medical Clinic Of Trezevant is 1538703897. It was assigned to this organization in the NPPES registry on October 30, 2019.
Where is Family Medical Clinic Of Trezevant located?
Family Medical Clinic Of Trezevant is located at 45 Hurt St, Trezevant, TN 38258. The listed phone number is (731) 207-0323.
What is Family Medical Clinic Of Trezevant's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Family Medical Clinic Of Trezevant enrolled in Medicare?
Yes. Family Medical Clinic Of Trezevant is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Medical Clinic Of Trezevant?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Family Medical Clinic Of Trezevant. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Medical Clinic Of Trezevant hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2138925) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Family Medical Clinic Of Trezevant was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Family Medical Clinic Of Trezevant · NPI 1538703897
Rural Health organization in Trezevant, Tennessee. Organization record, active in the CMS NPPES registry since October 30, 2019.
## Identity
- **NPI:** 1538703897 (Entity type: Organization)
- **Enumerated:** October 30, 2019
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Deborah Leggett, OWNER
## Practice location
- **Address:** 45 HURT ST, Trezevant, TN 38258-2505
- **Phone:** (731) 207-0323 · **Fax:** (731) 240-8065
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2022
- **Other identifiers:** Medicaid Q054230 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1538703897) · Data from the CMS NPPES public registry.