LEWISBURG FAMILY PRACTICE
NPI 1578921763
Clinic/Center - Federally Qualified Health Center (FQHC) in Lewisburg, TN

NPI Status: Active since February 03, 2016

Contact Information

1090 N ELLINGTON PKWY
SUITE 102
LEWISBURG, TN
ZIP 37091
Phone: (931) 359-0019

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 44D0978338
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 06-09-2026

About LEWISBURG FAMILY PRACTICE

This page provides the complete NPI Profile along with additional information for Lewisburg Family Practice, a primary care provider established in Lewisburg, Tennessee operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1578921763 assigned on February 2016. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Lewisburg Family Practice. The authorized official of this NPI record is Charles J Brinkley Iii (Cfo)

NPI
1578921763
Provider Legal Name
MAURY REGIONAL HOSPITAL
Other Organization Name
LEWISBURG FAMILY PRACTICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1090 N ELLINGTON PKWY SUITE 102 LEWISBURG, TN 37091
Location Phone
(931) 359-0019
Mailing Address
PO BOX 100054 ATLANTA, GA 30348
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-03-2016
Last Update Date
08-08-2024
Code Navigator

A primary care provider (PCP) like Lewisburg Family Practice sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Advantage (Virtual Urgent Care, No Referrals) - EPO
  • UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Copay Focus (Virtual Urgent Care, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Advantage (Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus (Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO
  • UHC Silver Value ($0 Virtual Urgent Care, No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES J BRINKLEY III

Authorized Official Title
CFO
Authorized Official Phone
(931) 540-4212

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D0978338
Facility Type
Federally Qualified Health Center
Certificate Effective Date
June 10, 2024
Certificate Expiration Date
June 09, 2026
Laboratory Director
DR. TIMOTHY A. NASH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lewisburg Family Practice to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1578921763, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
1
Doubled → 2
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 4 + 8 + 1 + 8 + 2 + 2 + 7 + 1 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1578921763.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Family Medicine
1090 N ELLINGTON PKWY, SUITE 102
LEWISBURG, TN 37091
Obstetrics & Gynecology
1090 N ELLINGTON PKWY, SUITE 101
LEWISBURG, TN 37091
Internal Medicine
1090 N ELLINGTON PKWY, SUITE 102
LEWISBURG, TN 37091
Internal Medicine
1090 N ELLINGTON PKWY, SUITE 102
LEWISBURG, TN 37091
Family Medicine
1090 N ELLINGTON PKWY, SUITE 102
LEWISBURG, TN 37091
Psychiatry & Neurology (Psychiatry)
1090 N ELLINGTON PKWY
LEWISBURG, TN 37091
Specialist/Technologist (Athletic Trainer)
1090 N ELLINGTON PKWY, STE 205
LEWISBURG, TN 37091
Family Medicine
1090 N ELLINGTON PKWY, SUITE 102
LEWISBURG, TN 37091
Physical Therapist
1090 N ELLINGTON PKWY
LEWISBURG, TN 37091
Physical Therapist
1090 N ELLINGTON PKWY
LEWISBURG, TN 37091
Physical Therapist
1090 N ELLINGTON PKWY, SUITE 205
LEWISBURG, TN 37091
Physical Therapist
1090 N ELLINGTON PKWY, SUITE 205
LEWISBURG, TN 37091
Nurse Practitioner (Family)
1090 N ELLINGTON PKWY
LEWISBURG, TN 37091
Nurse Practitioner (Family)
1090 N ELLINGTON PKWY
LEWISBURG, TN 37091
Clinic/Center (Federally Qualified Health Center (FQHC))
1090 N ELLINGTON PKWY, SUITE 201
LEWISBURG, TN 37091

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578921763, enumerated as an "organization" on February 03, 2016.

The provider is located at 1090 N ELLINGTON PKWY SUITE 102 LEWISBURG, TN 37091 and the phone number is (931) 359-0019.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.