WEST TENNESSEE MEDICAL GROUP HILLVIEW SOUTH CLINIC
NPI 1669876520
Clinic/Center - Rural Health in South Fulton, TN
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
West Tennessee Medical Group Hillview South Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to West Tennessee Medical Group Hillview South Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
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 44D2086539
Martin Health Dba West Tennessee Medical Group Hillview Clinic · South Fulton, 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 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.
Is Martin Health enrolled in Medicare?
Yes. Martin Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Martin Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Martin Health. 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. The largest specialties are Family Practice (7), Nurse Practitioner (3) and Internal Medicine (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 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.
# West Tennessee Medical Group Hillview South Clinic · NPI 1669876520
Rural Health organization in South Fulton, Tennessee. Organization record, active in the CMS NPPES registry since October 21, 2014.
## Identity
- **NPI:** 1669876520 (Entity type: Organization)
- **Enumerated:** October 21, 2014
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Martin Health
- **Organization subpart:** No
- **Authorized official:** Tina Prescott, PRESIDENT AND CEO
## Practice location
- **Address:** 1135 BROADWAY STREET, South Fulton, TN 38257-2835
- **Phone:** (731) 479-2606 · **Fax:** (731) 479-2610
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (7), Nurse Practitioner (3), Internal Medicine (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2024
- **Other identifiers:** Medicaid Q012738 (TN); Medicaid 044-3449 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669876520) · Data from the CMS NPPES public registry.