MCKENZIE MEDICAL CENTER PC
NPI 1700534229
Clinic/Center in Mc Kenzie, TN

Q: What is Mckenzie Medical Center PC's NPI number?

The NPI number for Mckenzie Medical Center PC is 1700534229. It was assigned to this organization in the NPPES registry on March 14, 2022. The provider is doing business as Hometown Health Clinic.

Q: What is Mckenzie Medical Center PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since March 14, 2022

205A HOSPITAL DR, MC KENZIE, TN 38201(731) 352-7907(833) 690-3848 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2025, Mar 17, 2025, May 6, 2024 (3 updates tracked since 2024).

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About Mckenzie Medical Center Pc NPPES

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

MCKENZIE MEDICAL CENTER PC (NPI 1700534229), doing business as Hometown Health Clinic, is a healthcare organization registered as a clinic/center in Mc Kenzie, Tennessee and active in the NPI registry since March 2022. The organization lists Tammy Etheridge, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1700534229

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameMCKENZIE MEDICAL CENTER PC

Location Address205A HOSPITAL DRMc Kenzie, TN 38201-1649

Mailing Address205a Hospital DrMc Kenzie, TN 38201-1649 · (731) 352-7907 · Fax (833) 690-3848

Phone(731) 352-7907

Fax(833) 690-3848

Organization SubpartNo

Authorized OfficialTammy EtheridgeChief Operating Officer · (731) 352-7907

Enumeration DateMarch 14, 2022

Last NPPES UpdateMarch 31, 20253 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1700534229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

205A HOSPITAL DR, Mc Kenzie, TN 38201

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Other Names 1

Doing Business AsHometown Health Clinic

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckenzie Medical Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 28 clinicians reassign Medicare billing to Mckenzie Medical Center PC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner18

Clinical Social Worker4

Emergency Medicine1

Family Practice1

Internal Medicine1

Marriage and Family Therapist1

Mental Health Counselor1

Psychiatry1

Nearest to this location (20)

See all 28

Elijah Carpenter, FNP

Nurse Practitioner

NPI 1275469157

205A HOSPITAL DR
Mc Kenzie, TN 38201

(731) 352-7907