PREFERRED FAMILY MEDICAL CARE LLC
NPI 1699188029
Clinic/Center - Primary Care in Charleston, TN
About Preferred Family Medical Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREFERRED FAMILY MEDICAL CARE LLC (NPI 1699188029) is a healthcare organization registered as a primary care in Charleston, Tennessee and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through July 7, 2028, maintains a secondary practice location in Charleston, and lists Keith L Kidd, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 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)
Preferred Family Medical Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Preferred Family Medical Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 44D2080428
Preferred Family Medical Care, LLC · Charleston, 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 Preferred Family Medical Care LLC's NPI number?
The NPI number for Preferred Family Medical Care LLC is 1699188029. It was assigned to this organization in the NPPES registry on June 3, 2014.
Where is Preferred Family Medical Care LLC located?
Preferred Family Medical Care LLC is located at 9026 Hiwassee St NE, Charleston, TN 37310. The listed phone number is (423) 665-3666.
What is Preferred Family Medical Care LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Preferred Family Medical Care LLC enrolled in Medicare?
Yes. Preferred Family Medical Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Preferred Family Medical Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Preferred Family Medical Care LLC, in Emergency Medicine, 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Preferred Family Medical Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2080428) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Preferred Family Medical Care LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Preferred Family Medical Care 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 Preferred Family Medical Care LLC was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Preferred Family Medical Care Llc · NPI 1699188029
Primary Care organization in Charleston, Tennessee. Organization record, active in the CMS NPPES registry since June 3, 2014.
## Identity
- **NPI:** 1699188029 (Entity type: Organization)
- **Enumerated:** June 3, 2014
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Keith Kidd, CEO
## Practice location
- **Address:** 9026 HIWASSEE ST NE, Charleston, TN 37310-5305
- **Phone:** (423) 665-3666 · **Fax:** (423) 584-6747
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Emergency Medicine (1), Family Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2021
- **Other identifiers:** Medicaid Q007277 (TN)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1699188029) · Data from the CMS NPPES public registry.