WEST TENNESSEE MEDICAL GROUP HILLVIEW SOUTH CLINIC
NPI 1669876520
Clinic/Center - Rural Health in South Fulton, TN

Active since October 21, 2014CLIA 44D2086539 · Waiver
1135 BROADWAY STREET, SOUTH FULTON, TN 38257(731) 479-2606(731) 479-2610 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2018, Aug 28, 2017, Jan 12, 2017 and 1 more (4 updates tracked since 2016).

About West Tennessee Medical Group Hillview South Clinic NPPES

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

WEST TENNESSEE MEDICAL GROUP HILLVIEW SOUTH CLINIC (NPI 1669876520) is a healthcare organization registered as a rural health in South Fulton, Tennessee and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Tina Prescott, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1669876520
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMARTIN HEALTH
Location Address1135 BROADWAY STREETSouth Fulton, TN 38257-2835
Mailing Address1135 Broadway StreetSouth Fulton, TN 38257-2835 · (731) 479-2606 · Fax (731) 479-2610
Fax(731) 479-2610
Organization SubpartNo
Authorized OfficialTina PrescottPresident And Ceo · (731) 541-5000
Enumeration DateOctober 21, 2014
Last NPPES UpdateOctober 14, 20244 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
NPI 1669876520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in TN · 0000000126
1135 BROADWAY STREET, South Fulton, TN 38257

Other Names 1

Doing Business AsWest Tennessee Medical Group Hillview South Clinic

Other Identifiers 2

MedicaidQ012738TN
Medicaid044-3449TN

Accepted 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 44D2086539

Martin Health Dba West Tennessee Medical Group Hillview Clinic · South Fulton, TN
Active · expires Jan 25, 2028
CLIA Number44D2086539
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorDr. Gregory Cox
Laboratory Phone(731) 479-2606
Laboratory LocationMartin Health Dba West Tennessee Medical Group Hillview Clinic1135 Broadway St, South Fulton, TN 38257
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Martin Health's NPI number?

The NPI number for Martin Health is 1669876520. It was assigned to this organization in the NPPES registry on October 21, 2014. The provider is doing business as West Tennessee Medical Group Hillview South Clinic.

Where is Martin Health located?

Martin Health is located at 1135 Broadway Street, South Fulton, TN 38257. The listed phone number is (731) 479-2606.

What is Martin Health's specialty?

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

Does Martin Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2086539) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Martin Health 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 4 other insurers list Martin Health 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 Martin Health was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.