TENNESSEE FAMILY CLINIC
NPI 1619412871
Clinic/Center - Primary Care in Savannah, TN
About Tennessee Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TENNESSEE FAMILY CLINIC (NPI 1619412871) is a healthcare organization registered as a primary care in Savannah, Tennessee and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Katherine Forsbach, Nurse Practitioner/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tennessee Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Tennessee Family Clinic, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 44D2124087
Tennessee Family Clinic · Savannah, TNFrequently 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 Tennessee Family Clinic's NPI number?
The NPI number for Tennessee Family Clinic is 1619412871. It was assigned to this organization in the NPPES registry on December 27, 2016.
Where is Tennessee Family Clinic located?
Tennessee Family Clinic is located at 1565 Wayne Rd, Savannah, TN 38372. The listed phone number is (859) 948-7915.
What is Tennessee Family Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Tennessee Family Clinic enrolled in Medicare?
Yes. Tennessee Family Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tennessee Family Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Tennessee Family Clinic. 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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Tennessee Family Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2124087) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Tennessee Family Clinic was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Tennessee Family Clinic · NPI 1619412871
Primary Care organization in Savannah, Tennessee. Organization record, active in the CMS NPPES registry since December 27, 2016.
## Identity
- **NPI:** 1619412871 (Entity type: Organization)
- **Enumerated:** December 27, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Katherine Forsbach, NURSE PRACTITIONER/OWNER
## Practice location
- **Address:** 1565 WAYNE RD, Savannah, TN 38372
- **Phone:** (859) 948-7915
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619412871) · Data from the CMS NPPES public registry.