MOSCOW FAMILY MEDICAL,LLC
NPI 1548828304
Nurse Practitioner - Family in Moscow, TN
About Moscow Family Medical,llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOSCOW FAMILY MEDICAL,LLC (NPI 1548828304) is a healthcare organization registered as a family in Moscow, Tennessee and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Zelma Allen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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 44D2170815
Moscow Family Medical LLC · Moscow, 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 Moscow Family Medical,llc's NPI number?
The NPI number for Moscow Family Medical,llc is 1548828304. It was assigned to this organization in the NPPES registry on June 5, 2019.
Where is Moscow Family Medical,llc located?
Moscow Family Medical,llc is located at 13775 Highway 57 Ste 4, Moscow, TN 38057. The listed phone number is (901) 877-3070.
What is Moscow Family Medical,llc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Moscow Family Medical,llc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2170815) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Moscow Family Medical,llc accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Moscow Family Medical,llc 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 Moscow Family Medical,llc was last updated on June 18, 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.
# Moscow Family Medical,llc · NPI 1548828304
Family organization in Moscow, Tennessee. Organization record, active in the CMS NPPES registry since June 5, 2019.
## Identity
- **NPI:** 1548828304 (Entity type: Organization)
- **Enumerated:** June 5, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Zelma Allen, OWNER
## Practice location
- **Address:** 13775 HIGHWAY 57 STE 4, Moscow, TN 38057-3802
- **Phone:** (901) 877-3070
## Record status
- **NPPES last updated:** June 18, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1548828304) · Data from the CMS NPPES public registry.