PRIMARY CARE FEDERALLY QUALIFIED HEALTH CENTER - WAYNESBORO
NPI 1669983995
Clinic/Center - Federally Qualified Health Center (FQHC) in Waynesboro, TN
About Primary Care Federally Qualified Health Center - Waynesboro NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE FEDERALLY QUALIFIED HEALTH CENTER - WAYNESBORO (NPI 1669983995) is a healthcare organization registered as a federally qualified health center (fqhc) in Waynesboro, Tennessee and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Charles J Brinkley, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Primary Care Federally Qualified Health Center - Waynesboro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
49Medicare enrollment records show 49 clinicians reassign Medicare billing to Primary Care Federally Qualified Health Center - Waynesboro, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 49Source: 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 44D0882921
Maury Regional Hospital Dba Primary Care Federally Qaulified Health Center-Waynesboro · Waynesboro, 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 Maury Regional Hospital's NPI number?
The NPI number for Maury Regional Hospital is 1669983995. It was assigned to this organization in the NPPES registry on October 13, 2017. The provider is doing business as Primary Care Federally Qualified Health Center - Waynesboro.
Where is Maury Regional Hospital located?
Maury Regional Hospital is located at 321 Dexter L Woods Memorial Blvd Ste E, Waynesboro, TN 38485. The listed phone number is (931) 722-9999.
What is Maury Regional Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Maury Regional Hospital enrolled in Medicare?
Yes. Maury Regional Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maury Regional Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 9 Medicare specialties reassign their Medicare billing to Maury Regional Hospital. 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 Nurse Practitioner (24), Internal Medicine (9) and Family Practice (6). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Maury Regional Hospital hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D0882921) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Maury Regional Hospital accept?
Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Maury Regional Hospital 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 Maury Regional Hospital was last updated on August 8, 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.
# Primary Care Federally Qualified Health Center - Waynesboro · NPI 1669983995
Federally Qualified Health Center (FQHC) organization in Waynesboro, Tennessee. Organization record, active in the CMS NPPES registry since October 13, 2017.
## Identity
- **NPI:** 1669983995 (Entity type: Organization)
- **Enumerated:** October 13, 2017
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Maury Regional Hospital
- **Organization subpart:** Yes (part of Maury Regional Hospital)
- **Authorized official:** Charles Brinkley, CFO
## Practice location
- **Address:** 321 DEXTER L WOODS MEMORIAL BLVD STE E, Waynesboro, TN 38485-2418
- **Phone:** (931) 722-9999 · **Fax:** (931) 722-2049
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 49 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Internal Medicine (9), Family Practice (6); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1669983995/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 8, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669983995) · Data from the CMS NPPES public registry.