HOMETOWN HEALTHCARE CLINIC LLC
NPI 1568972495
Nurse Practitioner - Family in Savannah, TN

Active since October 05, 2017CLIA 44D2161251 · Waiver
80 LEWIS ST, SAVANNAH, TN 38372(731) 400-4889(731) 400-4890 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2023, May 11, 2018, Dec 28, 2017 and 1 more (4 updates tracked since 2017).

About Hometown Healthcare Clinic Llc NPPES

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

HOMETOWN HEALTHCARE CLINIC LLC (NPI 1568972495) is a healthcare organization registered as a family in Savannah, Tennessee and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through January 28, 2027 and lists Lorrie Beckham Cooksey, Owner, as its authorized official.

NPPES Registry Identity

NPI1568972495
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHOMETOWN HEALTHCARE CLINIC LLC
Location Address80 LEWIS STSavannah, TN 38372-3109
Mailing Address80 Lewis StSavannah, TN 38372-3109 · (731) 400-4889 · Fax (731) 400-4890
Fax(731) 400-4890
Organization SubpartNo
Authorized OfficialLorrie Beckham CookseyOwner · (731) 400-4889
Enumeration DateOctober 5, 2017
Last NPPES UpdateOctober 5, 20234 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1568972495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APN12311
80 LEWIS ST, Savannah, TN 38372

Other Identifiers 1

Medicaid2032848TN

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hometown Healthcare Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Hometown Healthcare Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1174680755
80 LEWIS ST
Savannah, TN 38372
(731) 400-4889
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104168889
409 PARK AVE
Adamsville, TN 38310
(615) 673-6737
✔ PECOS✔ Accepts Medicare7.9 mi

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 44D2161251

Hometown Healthcare Clinic LLC · Savannah, TN
Active · expires Jan 28, 2027
CLIA Number44D2161251
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorLorrie Cooksey
Laboratory Phone(731) 400-4889
Laboratory LocationHometown Healthcare Clinic LLC80 Lewis Street, Savannah, TN 38372
CLIA data matches this NPI record on: Address 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 Hometown Healthcare Clinic LLC's NPI number?

The NPI number for Hometown Healthcare Clinic LLC is 1568972495. It was assigned to this organization in the NPPES registry on October 5, 2017.

Where is Hometown Healthcare Clinic LLC located?

Hometown Healthcare Clinic LLC is located at 80 Lewis St, Savannah, TN 38372. The listed phone number is (731) 400-4889.

What is Hometown Healthcare Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Hometown Healthcare Clinic LLC enrolled in Medicare?

Yes. Hometown Healthcare Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hometown Healthcare Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Hometown Healthcare 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hometown Healthcare Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2161251) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hometown Healthcare Clinic LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Hometown Healthcare Clinic 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 Hometown Healthcare Clinic LLC was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.