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FAMILY MEDICAL CLINIC OF TREZEVANT
NPI 1538703897
Clinic/Center - Rural Health in Trezevant, TN

Active since October 30, 2019CLIA 44D2138925 · Waiver
45 HURT ST, TREZEVANT, TN 38258(731) 207-0323(731) 240-8065 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 30, 2021, Apr 17, 2020, Jan 15, 2020 and 2 more (5 updates tracked since 2019).

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

NPI1538703897
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAMILY MEDICAL CLINIC OF TREZEVANT
Location Address45 HURT STTrezevant, TN 38258-2505
Mailing Address45 Hurt StTrezevant, TN 38258-2505 · (731) 207-0323 · Fax (731) 240-8065
Phone(731) 207-0323
Fax(731) 240-8065
Organization SubpartNo
Authorized OfficialDeborah Kay LeggettOwner · (731) 200-3001
Enumeration DateOctober 30, 2019
Last NPPES UpdateMarch 31, 20225 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1538703897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
45 HURT ST, Trezevant, TN 38258
Open in Google Maps ↗

Secondary Practice Location 1

Location 11022 Greystone SqJackson, TN 38305-3580 · Phone (731) 300-2001 · Fax (731) 240-8095

Other Identifiers 1

MedicaidQ054230TN

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, TN
Active · expires Oct 25, 2027
CLIA Number44D2138925
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorDr. Joe Mark Harris
Laboratory Phone(731) 207-0323
Laboratory LocationFamily Medical Clinic Of Trezevant45 Hurt St, Trezevant, TN 38258
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS TAMMY M GRIFFIS FNP-C
Nurse Practitioner (Family)
45 HURT ST
TREZEVANT, TN 38258
Carroll County (731) 669-3863
MRS. DEBORAH LEGGETT FNP-C
Nurse Practitioner (Family)
45 HURT ST
TREZEVANT, TN 38258
Carroll County (731) 541-5000

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 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.

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.