BRAXTON MEDICAL CLINIC, LLC
NPI 1780281527
Clinic/Center - Primary Care in Murfreesboro, TN

Active since October 05, 2020CLIA 44D2213767 · Waiver
1410 KENSINGTON SQUARE CT STE 103, MURFREESBORO, TN 37130(615) 900-1659(615) 912-9997 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 28, 2025, Oct 22, 2021, Nov 16, 2020 and 2 more (5 updates tracked since 2020).

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

NPI1780281527
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBRAXTON MEDICAL CLINIC, LLC
Location Address1410 KENSINGTON SQUARE CT STE 103Murfreesboro, TN 37130-6902
Mailing Address1410 Kensington Square Ct Ste 103Murfreesboro, TN 37130-6902 · (615) 900-1659
Fax(615) 912-9997
Organization SubpartNo
Authorized OfficialJohn George TsibuC.e.o · (615) 900-1659
Enumeration DateOctober 5, 2020
Last NPPES UpdateNovember 28, 20255 updates tracked since enumeration
NPPES CertifiedNovember 28, 2025
NPI 1780281527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1410 KENSINGTON SQUARE CT STE 103, Murfreesboro, TN 37130

Other Identifiers 1

MedicaidQ018514TN

Accepted Insurance

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, TN
Active · expires Feb 15, 2027
CLIA Number44D2213767
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorJohn G. Tsibu
Laboratory Phone(615) 238-7512
Laboratory LocationBraxton Medical Clinic1410 Kensington Square Court, Ste 1103, Murfreesboro, TN 37130
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1410 KENSINGTON SQUARE CT STE 103
MURFREESBORO, TN 37130

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 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.

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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer 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 8 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.