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DEKALB MEDICAL CLINIC LLP
NPI 1700552890
Family Medicine in Smithville, TN

Active since August 18, 2021CLIA 44D2261656 · Waiver
518 W MAIN ST STE C, SMITHVILLE, TN 37166(615) 597-4005(615) 597-6667 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dekalb Medical Clinic Llp NPPES

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

DEKALB MEDICAL CLINIC LLP (NPI 1700552890) is a healthcare organization registered as a family medicine in Smithville, Tennessee and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Tonya R Jennings, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1700552890
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEKALB MEDICAL CLINIC LLP
Location Address518 W MAIN ST STE CSmithville, TN 37166-1100
Mailing Address518 W Main St Ste CSmithville, TN 37166-1100 · (615) 597-4005 · Fax (615) 597-6667
Phone(615) 597-4005
Fax(615) 597-6667
Organization SubpartNo
Authorized OfficialTonya R JenningsAuthorized Official · (615) 684-2157
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1700552890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
518 W MAIN ST STE C, Smithville, TN 37166
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 44D2261656

Dekalb Medical Clinic, LLP · Smithville, TN
Active · expires Jun 2, 2028
CLIA Number44D2261656
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorTonya R. Jennings
Laboratory Phone(615) 597-4005
Laboratory LocationDekalb Medical Clinic, LLP518 West Main Street, Suite C, Smithville, TN 37166
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

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

JOHNNY D BALL NP
Family Medicine
518 W MAIN ST STE C
SMITHVILLE, TN 37166
Dekalb County (615) 597-4005

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 Dekalb Medical Clinic LLP's NPI number?

The NPI number for Dekalb Medical Clinic LLP is 1700552890. It was assigned to this organization in the NPPES registry on August 18, 2021.

Where is Dekalb Medical Clinic LLP located?

Dekalb Medical Clinic LLP is located at 518 W Main St Ste C, Smithville, TN 37166. The listed phone number is (615) 597-4005.

What is Dekalb Medical Clinic LLP's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dekalb Medical Clinic LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2261656) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dekalb Medical Clinic LLP 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 1 other insurer list Dekalb Medical Clinic LLP 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 Dekalb Medical Clinic LLP was last updated on August 18, 2021. 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.