BRAXTON MEDICAL CLINIC, LLC
NPI 1780281527
Clinic/Center - Primary Care in Murfreesboro, TN
About Braxton Medical Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAXTON MEDICAL CLINIC, LLC (NPI 1780281527) is a healthcare organization registered as a primary care in Murfreesboro, Tennessee and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through February 15, 2027 and lists John George Tsibu, C.e.o, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Braxton Medical Clinic, Llc 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 Braxton Medical Clinic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Murfreesboro, TN 37130
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 44D2213767
Braxton Medical Clinic · Murfreesboro, 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 Braxton Medical Clinic, LLC's NPI number?
The NPI number for Braxton Medical Clinic, LLC is 1780281527. It was assigned to this organization in the NPPES registry on October 5, 2020.
Where is Braxton Medical Clinic, LLC located?
Braxton Medical Clinic, LLC is located at 1410 Kensington Square Ct Ste 103, Murfreesboro, TN 37130. The listed phone number is (615) 900-1659.
What is Braxton Medical Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Braxton Medical Clinic, LLC enrolled in Medicare?
Yes. Braxton Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Braxton Medical Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Braxton Medical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Braxton Medical Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2213767) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Braxton Medical Clinic, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Braxton Medical Clinic, LLC 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 Braxton Medical Clinic, LLC was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Braxton Medical Clinic, Llc · NPI 1780281527
Primary Care organization in Murfreesboro, Tennessee. Organization record, active in the CMS NPPES registry since October 5, 2020.
## Identity
- **NPI:** 1780281527 (Entity type: Organization)
- **Enumerated:** October 5, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** John Tsibu, C.E.O
## Practice location
- **Address:** 1410 KENSINGTON SQUARE CT STE 103, Murfreesboro, TN 37130-6902
- **Phone:** (615) 900-1659 · **Fax:** (615) 912-9997
## 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:** November 28, 2025
- **Other identifiers:** Medicaid Q018514 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780281527) · Data from the CMS NPPES public registry.