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NORTH MAIN MEDICAL, LLC
NPI 1679106306
Clinic/Center - Primary Care in Crossville, TN

Active since February 21, 2020CLIA Certified · 2 labs
181 MATHERLY ST, CROSSVILLE, TN 38555(931) 644-5423(931) 710-5728 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Nov 24, 2020, May 29, 2020 and 2 more (5 updates tracked since 2020).

About North Main Medical, Llc NPPES

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

NORTH MAIN MEDICAL, LLC (NPI 1679106306) is a healthcare organization registered as a primary care in Crossville, Tennessee and active in the NPI registry since February 2020. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Crossville, and lists Gina R Leary, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1679106306
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNORTH MAIN MEDICAL, LLC
Location Address181 MATHERLY STCrossville, TN 38555-1001
Mailing AddressPo Box 3350Crossville, TN 38557-3350
Phone(931) 644-5423
Fax(931) 710-5728
Organization SubpartNo
Authorized OfficialGina R LearyCredentialing Manager · (931) 248-1414
Enumeration DateFebruary 21, 2020
Last NPPES UpdateMay 18, 20265 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1679106306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
181 MATHERLY ST, Crossville, TN 38555
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Secondary Practice Location 1

Location 13094 N MAINSTCROSSVILLE, TN 38555 · Phone (931) 644-5423 · Fax (931) 337-0155

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 44D2342779

North Main Medical Site B · Crossville, TN
Active · expires Apr 26, 2028
CLIA Number44D2342779
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorSandra Dillon
Laboratory Phone(931) 644-5423
Laboratory LocationNorth Main Medical Site B181 Matherly St, Crossville, TN 38555
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2194245

North Main Medical LLC · Crossville, TN
Active · expires Sep 28, 2026
CLIA Number44D2194245
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorCasey H. Dillon
Laboratory Phone(931) 250-5521
Laboratory LocationNorth Main Medical LLC3094 North Main Street, Crossville, TN 38555
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CASEY DILLON PA
Physician Assistant
181 MATHERLY ST
CROSSVILLE, TN 38555
Cumberland County (931) 644-5423
WILLIAM STACY SWAFFORD PA-C
Pain Medicine (Pain Medicine)
181 MATHERLY ST
CROSSVILLE, TN 38555
Cumberland County (931) 484-2727

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 North Main Medical, LLC's NPI number?

The NPI number for North Main Medical, LLC is 1679106306. It was assigned to this organization in the NPPES registry on February 21, 2020.

Where is North Main Medical, LLC located?

North Main Medical, LLC is located at 181 Matherly St, Crossville, TN 38555. The listed phone number is (931) 644-5423.

What is North Main Medical, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does North Main Medical, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for North Main Medical, LLC was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.