COMMUNITY WELLNESS CLINIC INC.
NPI 1770844110
Nurse Practitioner - Family in Woodbury, TN

Q: What is Community Wellness Clinic Inc.'s NPI number?

The NPI number for Community Wellness Clinic Inc. is 1770844110. It was assigned to this organization in the NPPES registry on June 1, 2012.

Q: What is Community Wellness Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 01, 2012CLIA 44D2042026 · Waiver

322 S MCCRARY ST, WOODBURY, TN 37190(615) 563-7515(615) 563-7393 Get Directions Write a Review

NPPES record last updated: June 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Community Wellness Clinic Inc. NPPES

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

COMMUNITY WELLNESS CLINIC INC. (NPI 1770844110) is a healthcare organization registered as a family in Woodbury, Tennessee and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through June 4, 2028 and lists Tabitha Smith, President/provider, as its authorized official.

NPPES Registry Identity

NPI1770844110

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameCOMMUNITY WELLNESS CLINIC INC.

Location Address322 S MCCRARY STWoodbury, TN 37190-1441

Mailing Address322 S Mccrary StWoodbury, TN 37190-1441 · (615) 563-7515 · Fax (615) 563-7393

Phone(615) 563-7515

Fax(615) 563-7393

Organization SubpartNo

Authorized OfficialTabitha SmithPresident/provider · (615) 563-7515

Enumeration DateJune 1, 2012

✔ NPI 1770844110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 15595

322 S MCCRARY ST, Woodbury, TN 37190

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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

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 44D2042026

Community Wellness Clinic · Woodbury, TN

Active · expires Jun 4, 2028

CLIA Number44D2042026

Laboratory TypePractitioner Other

Certificate Effective DateJune 5, 2026

Certificate Expiration DateJune 4, 2028

Laboratory DirectorTabitha M. Smith

Laboratory Phone(615) 563-7515

Laboratory LocationCommunity Wellness Clinic89 Mears Dr, Woodbury, TN 37190

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Community Wellness Clinic Inc.'s NPI number?

The NPI number for Community Wellness Clinic Inc. is 1770844110. It was assigned to this organization in the NPPES registry on June 1, 2012.

Where is Community Wellness Clinic Inc. located?

Community Wellness Clinic Inc. is located at 322 S Mccrary St, Woodbury, TN 37190. The listed phone number is (615) 563-7515.

What is Community Wellness Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Community Wellness Clinic Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2042026) is associated with this NPI, valid through June 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Wellness Clinic Inc. was last updated on June 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.