MANCHESTER CARE CLINIC LLC
NPI 1770154429
Family Medicine in Manchester, TN
About Manchester Care Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANCHESTER CARE CLINIC LLC (NPI 1770154429) is a healthcare organization registered as a family medicine in Manchester, Tennessee and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Dawn Selvage, Family Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Manchester Care Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Manchester Care Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 44D2231674
Manchester Care Clinic LLC · Manchester, 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 Manchester Care Clinic LLC's NPI number?
The NPI number for Manchester Care Clinic LLC is 1770154429. It was assigned to this organization in the NPPES registry on July 4, 2021.
Where is Manchester Care Clinic LLC located?
Manchester Care Clinic LLC is located at 1019 Hillsboro Blvd, Manchester, TN 37355. The listed phone number is (931) 800-4622.
What is Manchester Care Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Manchester Care Clinic LLC enrolled in Medicare?
Yes. Manchester Care Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Manchester Care Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Manchester Care Clinic LLC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Manchester Care Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2231674) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Manchester Care Clinic LLC was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Manchester Care Clinic Llc · NPI 1770154429
Family Medicine organization in Manchester, Tennessee. Organization record, active in the CMS NPPES registry since July 4, 2021.
## Identity
- **NPI:** 1770154429 (Entity type: Organization)
- **Enumerated:** July 4, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Dawn Selvage, FAMILY NURSE PRACTITIONER
## Practice location
- **Address:** 1019 HILLSBORO BLVD, Manchester, TN 37355-2029
- **Phone:** (931) 800-4622
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770154429) · Data from the CMS NPPES public registry.