WADE FAMILY MEDICINE
NPI 1629586375
Clinic/Center in Covington, TN
About Wade Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WADE FAMILY MEDICINE (NPI 1629586375) is a healthcare organization registered as a clinic/center in Covington, Tennessee and active in the NPI registry since January 2018. The organization lists Modeanna Leigh Wade, Fnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wade Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wade Family Medicine, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wade Family Medicine, LLC.'s NPI number?
The NPI number for Wade Family Medicine, LLC. is 1629586375. It was assigned to this organization in the NPPES registry on January 16, 2018. The provider is doing business as Wade Family Medicine.
Where is Wade Family Medicine, LLC. located?
Wade Family Medicine, LLC. is located at 899 Highway 51 S, Covington, TN 38019. The listed phone number is (901) 244-4646.
What is Wade Family Medicine, LLC.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Wade Family Medicine, LLC. enrolled in Medicare?
Yes. Wade Family Medicine, LLC. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wade Family Medicine, LLC.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Wade Family Medicine, LLC.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wade Family Medicine, LLC. was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Wade Family Medicine · NPI 1629586375
Clinic/Center organization in Covington, Tennessee. Organization record, active in the CMS NPPES registry since January 16, 2018.
## Identity
- **NPI:** 1629586375 (Entity type: Organization)
- **Enumerated:** January 16, 2018
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Legal business name:** Wade Family Medicine, Llc.
- **Organization subpart:** No
- **Authorized official:** Modeanna Wade, FNP
## Practice location
- **Address:** 899 HIGHWAY 51 S, Covington, TN 38019-2568
- **Phone:** (901) 244-4646 · **Fax:** (901) 244-4647
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2024
- **Other identifiers:** Medicaid 1525986 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1629586375) · Data from the CMS NPPES public registry.