MICHIE HEALTH LLC
NPI 1790606432
Nurse Practitioner - Adult Health in Michie, TN

Active since July 21, 2026CLIA 44D1043904 · Waiver
5823 HIGHWAY 22, MICHIE, TN 38357(731) 239-9470(731) 239-9472 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2026, Jul 21, 2026 (2 updates tracked since 2026).

About Michie Health Llc NPPES

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

MICHIE HEALTH LLC (NPI 1790606432) is a healthcare organization registered as an adult health in Michie, Tennessee and active in the NPI registry since July 2026. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Bri Freeman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1790606432
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameMICHIE HEALTH LLC
Location Address5823 HIGHWAY 22Michie, TN 38357-5175
Mailing Address5823 Highway 22Michie, TN 38357-5175 · (731) 239-9470 · Fax (731) 239-9472
Fax(731) 239-9472
Organization SubpartNo
Authorized OfficialBri FreemanOffice Manager · (731) 315-8703
Enumeration DateJuly 21, 2026
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1790606432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedFamily MedicineTaxonomy 207Q00000X
5823 HIGHWAY 22, Michie, TN 38357

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michie Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Michie Health LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1053884106
3001 HIGHWAY 72 W
Corinth, MS 38834
(662) 396-0742
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1083882591
8974 CLAIR DOUWIE CV
Bartlett, TN 38133
(901) 830-8439
✔ PECOS76 mi

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 44D1043904

Michie Healthcare Associates LLC Attn Mary Lockhart · Michie, TN
Active · expires Aug 4, 2027
CLIA Number44D1043904
Laboratory TypePractitioner Other
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorDee Blakney
Laboratory Phone(731) 239-9470
Laboratory LocationMichie Healthcare Associates LLC Attn Mary Lockhart5823 Highway 22 South, Michie, TN 38357
CLIA data matches this NPI record on: Address 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 Michie Health LLC's NPI number?

The NPI number for Michie Health LLC is 1790606432. It was assigned to this organization in the NPPES registry on July 21, 2026.

Where is Michie Health LLC located?

Michie Health LLC is located at 5823 Highway 22, Michie, TN 38357. The listed phone number is (731) 239-9470.

What is Michie Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Michie Health LLC enrolled in Medicare?

Yes. Michie Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michie Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Michie Health 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 Michie Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1043904) 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 Michie Health LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.