HOMER L. STALEY, MD
NPI 1619103579
Family Medicine in Lawrenceburg, TN

Active since June 05, 2009CLIA 44D0975649 · Waiver
104 N LOCUST AVE, LAWRENCEBURG, TN 38464(931) 762-6476(931) 762-1841 Get Directions Write a Review

NPPES record last updated: June 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Homer L. Staley, Md NPPES

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

HOMER L. STALEY, MD (NPI 1619103579) is a healthcare organization registered as a family medicine in Lawrenceburg, Tennessee and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists Homer L Staley, President, as its authorized official.

NPPES Registry Identity

NPI1619103579
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAWRENCEBURG FAMILY PRACTICE ASSOCIATES, PC
Location Address104 N LOCUST AVELawrenceburg, TN 38464-3734
Mailing Address104 N Locust AveLawrenceburg, TN 38464-3734 · (931) 762-6476 · Fax (931) 762-1841
Fax(931) 762-1841
Organization SubpartNo
Authorized OfficialHomer L StaleyPresident · (931) 762-6476
Enumeration DateJune 5, 2009
NPI 1619103579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · MD008952
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.

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License MD008952 (TN)
104 N LOCUST AVE, Lawrenceburg, TN 38464

Other Names 1

Other NameHomer L. Staley, Md

Other Identifiers 3

Medicaid3170118TN
Medicare PIN1609886936
Medicare UPINB03386TN

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 MULTIPLE 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 44D0975649

Lawrenceburg Family Practice Associates PC · Lawrenceburg, TN
Active · expires Oct 22, 2026
CLIA Number44D0975649
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorDr. Homer L. Staley
Laboratory Phone(931) 762-6476
Laboratory LocationLawrenceburg Family Practice Associates PC104 North Locust Avenue, Lawrenceburg, TN 38464
CLIA data matches this NPI record on: Address Name 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.

Family Medicine
104 N LOCUST AVE
LAWRENCEBURG, TN 38464

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 Lawrenceburg Family Practice Associates, PC's NPI number?

The NPI number for Lawrenceburg Family Practice Associates, PC is 1619103579. It was assigned to this organization in the NPPES registry on June 5, 2009. The provider is also known as Homer L. Staley, MD.

Where is Lawrenceburg Family Practice Associates, PC located?

Lawrenceburg Family Practice Associates, PC is located at 104 N Locust Ave, Lawrenceburg, TN 38464. The listed phone number is (931) 762-6476.

What is Lawrenceburg Family Practice Associates, PC's specialty?

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

Does Lawrenceburg Family Practice Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0975649) is associated with this NPI, valid through October 22, 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 Lawrenceburg Family Practice Associates, PC was last updated on June 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.