PERRY COUNTY MEDICAL CENTER, INC.
NPI 1710535703
Dentist - General Practice in Lyles, TN
About Perry County Medical Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PERRY COUNTY MEDICAL CENTER, INC. (NPI 1710535703) is a healthcare organization registered as a general practice in Lyles, Tennessee and active in the NPI registry since September 2019. The organization lists Phillip Bradley Tatum, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 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)
Perry County Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Perry County Medical Center, Inc., 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 by Medicare Specialty 6
Clinicians, nearest first (20)
Lyles, TN 37098
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Perry County Medical Center, Inc.'s NPI number?
The NPI number for Perry County Medical Center, Inc. is 1710535703. It was assigned to this organization in the NPPES registry on September 3, 2019. The provider is also known as Three Rivers Community Health Dental.
Where is Perry County Medical Center, Inc. located?
Perry County Medical Center, Inc. is located at 7723 Clearview Church Ln Ste 200, Lyles, TN 37098. The listed phone number is (931) 670-8318.
What is Perry County Medical Center, Inc.'s specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Perry County Medical Center, Inc. enrolled in Medicare?
Yes. Perry County Medical Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Perry County Medical Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 6 Medicare specialties reassign their Medicare billing to Perry County Medical Center, Inc.. 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. The largest specialties are Nurse Practitioner (12), Dentist (3) and Clinical Social Worker (2). 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.
What insurance does Perry County Medical Center, Inc. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Perry County Medical Center, Inc. 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 Perry County Medical Center, Inc. was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Perry County Medical Center, Inc. · NPI 1710535703
General Practice organization in Lyles, Tennessee. Organization record, active in the CMS NPPES registry since September 3, 2019.
## Identity
- **NPI:** 1710535703 (Entity type: Organization)
- **Enumerated:** September 3, 2019
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Also known as:** Three Rivers Community Health Dental (Other Name)
- **Organization subpart:** Yes (part of Three Rivers Community Health Group)
- **Authorized official:** Phillip Tatum, CEO
## Practice location
- **Address:** 7723 CLEARVIEW CHURCH LN STE 200, Lyles, TN 37098-1674
- **Phone:** (931) 670-8318
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Dentist (3), Clinical Social Worker (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1710535703) · Data from the CMS NPPES public registry.