NORTH MAIN MEDICAL, LLC
NPI 1679106306
Clinic/Center - Primary Care in Crossville, TN
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
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Main Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to North Main Medical, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 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, TNCertificate of Waiver 44D2194245
North Main Medical LLC · Crossville, 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 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.
Is North Main Medical, LLC enrolled in Medicare?
Yes. North Main Medical, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Main Medical, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to North Main Medical, LLC, in Family Practice and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 5 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.
# North Main Medical, Llc · NPI 1679106306
Primary Care organization in Crossville, Tennessee. Organization record, active in the CMS NPPES registry since February 21, 2020.
## Identity
- **NPI:** 1679106306 (Entity type: Organization)
- **Enumerated:** February 21, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Gina Leary, CREDENTIALING MANAGER
## Practice location
- **Address:** 181 MATHERLY ST, Crossville, TN 38555-1001
- **Phone:** (931) 644-5423 · **Fax:** (931) 710-5728
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2026
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1679106306) · Data from the CMS NPPES public registry.