MAIN STREET FAMILY CARE PLLC
NPI 1770012676
Clinic/Center - Rural Health in Tiptonville, TN
About Main Street Family Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN STREET FAMILY CARE PLLC (NPI 1770012676) is a healthcare organization registered as a rural health in Tiptonville, Tennessee and active in the NPI registry since June 2017. The organization lists Misty C Barker, Np/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Main Street Family Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Main Street Family Care PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Main Street Family Care PLLC's NPI number?
The NPI number for Main Street Family Care PLLC is 1770012676. It was assigned to this organization in the NPPES registry on June 6, 2017.
Where is Main Street Family Care PLLC located?
Main Street Family Care PLLC is located at 211 Church St, Tiptonville, TN 38079. The listed phone number is (731) 571-0569.
What is Main Street Family Care PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Main Street Family Care PLLC enrolled in Medicare?
Yes. Main Street Family Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Main Street Family Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Main Street Family Care PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Main Street Family Care PLLC was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Main Street Family Care Pllc · NPI 1770012676
Rural Health organization in Tiptonville, Tennessee. Organization record, active in the CMS NPPES registry since June 6, 2017.
## Identity
- **NPI:** 1770012676 (Entity type: Organization)
- **Enumerated:** June 6, 2017
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Misty Barker, NP/OWNER
## Practice location
- **Address:** 211 CHURCH ST, Tiptonville, TN 38079-1109
- **Phone:** (731) 571-0569
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1770012676) · Data from the CMS NPPES public registry.