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RICKMAN FAMILY MEDICAL CLINIC
NPI 1609064575
Family Medicine in Rickman, TN

Active since October 04, 2007CLIA 44D2314362 · Waiver
2546 WINDLE COMMUNITY RD, RICKMAN, TN 38580(931) 498-4880(931) 498-4882 Get Directions Write a Review

NPPES record last updated: October 5, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rickman Family Medical Clinic NPPES

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

RICKMAN FAMILY MEDICAL CLINIC (NPI 1609064575) is a healthcare organization registered as a family medicine in Rickman, Tennessee and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists James C Nelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1609064575
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRICKMAN FAMILY MEDICAL CLINIC
Location Address2546 WINDLE COMMUNITY RDRickman, TN 38580
Mailing Address2546 Windle Community RdRickman, TN 38580-0347 · (931) 498-4880 · Fax (931) 498-4882
Phone(931) 498-4880
Fax(931) 498-4882
Organization SubpartNo
Authorized OfficialJames C NelsonOwner · (931) 498-4880
Enumeration DateOctober 4, 2007
Last NPPES UpdateOctober 5, 2007
✔ NPI 1609064575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2546 WINDLE COMMUNITY RD, Rickman, TN 38580
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Other Identifiers 1

Medicare PIN3376708TN

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

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 44D2314362

Rickman Medical Clinic · Cookeville, TN
Active · expires Nov 18, 2026
CLIA Number44D2314362
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorJain K. Pushpendra
Laboratory Phone(931) 498-4880
Laboratory LocationRickman Medical Clinic2546 Windle Community Rd, Cookeville, TN 38506
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MR. JAMES CHARLES NELSON JR. M.D.
Family Medicine
2546 WINDLE COMMUNITY RD
RICKMAN, TN 38580
Overton County (931) 498-4880

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 Rickman Family Medical Clinic's NPI number?

The NPI number for Rickman Family Medical Clinic is 1609064575. It was assigned to this organization in the NPPES registry on October 4, 2007.

Where is Rickman Family Medical Clinic located?

Rickman Family Medical Clinic is located at 2546 Windle Community Rd, Rickman, TN 38580. The listed phone number is (931) 498-4880.

What is Rickman Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Rickman Family Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2314362) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rickman Family Medical Clinic was last updated on October 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.