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MEDINA FAMILY MEDICAL CLINIC PC
NPI 1609881150
Clinic/Center - Rural Health in Medina, TN

Active since July 30, 2006CLIA 44D1029832 · Waiver
209 GRACE CV, MEDINA, TN 38355(731) 783-0400(731) 783-0402 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medina Family Medical Clinic Pc NPPES

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

MEDINA FAMILY MEDICAL CLINIC PC (NPI 1609881150) is a healthcare organization registered as a rural health in Medina, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Mechelle T Perry, Owner, as its authorized official.

NPPES Registry Identity

NPI1609881150
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEDINA FAMILY MEDICAL CLINIC PC
Location Address209 GRACE CVMedina, TN 38355-8785
Mailing AddressPo Box 100Medina, TN 38355-0100 · (731) 783-0400 · Fax (731) 783-0402
Phone(731) 783-0400
Fax(731) 783-0402
Organization SubpartNo
Authorized OfficialMechelle T PerryOwner · (731) 783-0400
Enumeration DateJuly 30, 2006
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1609881150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
209 GRACE CV, Medina, TN 38355
Open in Google Maps ↗

Other Identifiers 1

Medicaid3727175TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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 44D1029832

Medina Family Medical Clinic, PC · Medina, TN
Active · expires Nov 29, 2027
CLIA Number44D1029832
Laboratory TypePractitioner Other
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorMechelle T. Perry
Laboratory Phone(731) 783-0400
Laboratory LocationMedina Family Medical Clinic, PC209 Grace Cove, Medina, TN 38355
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MECHELLE T PERRY CFNP
Nurse Practitioner
209 GRACE CV
MEDINA, TN 38355
Gibson County (731) 783-0400
DARREN R PERRY CFNP
Nurse Practitioner
209 GRACE CV
MEDINA, TN 38355
Gibson County (731) 783-0400
JENNIFER ELIZABETH RICE AGNP-C
Nurse Practitioner (Adult Health)
209 GRACE CV
MEDINA, TN 38355
Gibson County (731) 783-0400

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 Medina Family Medical Clinic PC's NPI number?

The NPI number for Medina Family Medical Clinic PC is 1609881150. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Medina Family Medical Clinic PC located?

Medina Family Medical Clinic PC is located at 209 Grace Cv, Medina, TN 38355. The listed phone number is (731) 783-0400.

What is Medina Family Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Medina Family Medical Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1029832) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medina Family Medical Clinic PC 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 Medina Family Medical Clinic PC 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 Medina Family Medical Clinic PC was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.