CCS CARE CLINIC LLC
NPI 1649168790
Nurse Practitioner - Family in Columbia, TN
About Ccs Care Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CCS CARE CLINIC LLC (NPI 1649168790) is a healthcare organization registered as a family in Columbia, Tennessee and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through February 26, 2028 and lists Crystal Clark, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 44D2339311
Ccs Care Clinic, LLC · Columbia, TNOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ccs Care Clinic LLC's NPI number?
The NPI number for Ccs Care Clinic LLC is 1649168790. It was assigned to this organization in the NPPES registry on June 26, 2025.
Where is Ccs Care Clinic LLC located?
Ccs Care Clinic LLC is located at 1409 Hatcher Ln, Columbia, TN 38401. The listed phone number is (931) 446-5778.
What is Ccs Care Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Ccs Care Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2339311) is associated with this NPI, valid through February 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Ccs Care Clinic LLC was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ccs Care Clinic Llc · NPI 1649168790
Family organization in Columbia, Tennessee. Organization record, active in the CMS NPPES registry since June 26, 2025.
## Identity
- **NPI:** 1649168790 (Entity type: Organization)
- **Enumerated:** June 26, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Crystal Clark, OWNER
## Practice location
- **Address:** 1409 HATCHER LN, Columbia, TN 38401-3535
- **Phone:** (931) 446-5778
## Record status
- **NPPES last updated:** February 11, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649168790) · Data from the CMS NPPES public registry.