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VANDERBILT INTEGRATED PRIMARY CARE MADISON STREET
NPI 1689273344
Clinic/Center - Rural Health in Shelbyville, TN

Active since October 22, 2020CLIA 44D2040776 · Waiver
1401 MADISON ST, SHELBYVILLE, TN 37160(931) 685-2025 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2021, Dec 16, 2020, Dec 11, 2020 and 2 more (5 updates tracked since 2020).

About Vanderbilt Integrated Primary Care Madison Street NPPES

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

VANDERBILT INTEGRATED PRIMARY CARE MADISON STREET (NPI 1689273344) is a healthcare organization registered as a rural health in Shelbyville, Tennessee and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Angela L Simmons, Vp - Finance, as its authorized official.

NPPES Registry Identity

NPI1689273344
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameVANDERBILT BEDFORD HOSPITAL, LLC
Location Address1401 MADISON STShelbyville, TN 37160-3629
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(931) 685-2025
Organization SubpartNo
Authorized OfficialAngela L SimmonsVp - Finance · (615) 936-8875
Enumeration DateOctober 22, 2020
Last NPPES UpdateMarch 31, 20225 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1689273344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1401 MADISON ST, Shelbyville, TN 37160
Open in Google Maps ↗

Other Names 1

Doing Business AsVanderbilt Integrated Primary Care Madison Street

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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 44D2040776

Vanderbilt Bedford Hospital Dba Vanderbilt Intergrated Primary Care Madison St · Shelbyville, TN
Active · expires May 8, 2028
CLIA Number44D2040776
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorMarie Brock
Laboratory Phone(931) 685-2025
Laboratory LocationVanderbilt Bedford Hospital Dba Vanderbilt Intergrated Primary Care Madison St1401 Madison St, Shelbyville, TN 37160
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

KARYN ELIZABETH JONES N.P.
Nurse Practitioner (Family)
1401 MADISON ST
SHELBYVILLE, TN 37160
Bedford County (931) 685-2025
SHELBYVILLE HOSPITAL COMPANY LLC
Clinic/Center (Rural Health)
1401 MADISON ST
SHELBYVILLE, TN 37160
Bedford County (931) 685-2025
MADISON STREET FAMILY CLINIC
Family Medicine
1401 MADISON ST, SUITE A
SHELBYVILLE, TN 37160
Bedford County (931) 685-2022
SHELBYVILLE HOSPITAL COMPANY LLC
Family Medicine
1401 MADISON ST
SHELBYVILLE, TN 37160
Bedford County (931) 685-2025

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 Vanderbilt Bedford Hospital, LLC's NPI number?

The NPI number for Vanderbilt Bedford Hospital, LLC is 1689273344. It was assigned to this organization in the NPPES registry on October 22, 2020. The provider is doing business as Vanderbilt Integrated Primary Care Madison Street.

Where is Vanderbilt Bedford Hospital, LLC located?

Vanderbilt Bedford Hospital, LLC is located at 1401 Madison St, Shelbyville, TN 37160. The listed phone number is (931) 685-2025.

What is Vanderbilt Bedford Hospital, LLC's specialty?

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

Does Vanderbilt Bedford Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2040776) is associated with this NPI, valid through May 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vanderbilt Bedford Hospital, LLC 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 3 other insurers list Vanderbilt Bedford Hospital, LLC 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 Vanderbilt Bedford Hospital, LLC was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.