LIBERTY MEDICAL CLINIC PC
NPI 1790812956
Clinic/Center - Rural Health in Bells, TN

Active since February 27, 2007CLIA 44D0989232 · Waiver
4937 COLLEGE ST, BELLS, TN 38006(731) 663-3530(731) 663-3531 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Liberty Medical Clinic Pc NPPES

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

LIBERTY MEDICAL CLINIC PC (NPI 1790812956) is a healthcare organization registered as a rural health in Bells, Tennessee and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Chizoba N Nnaji, Assistant, as its authorized official.

NPPES Registry Identity

NPI1790812956
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLIBERTY MEDICAL CLINIC PC
Location Address4937 COLLEGE STBells, TN 38006-3483
Mailing Address4937 College StreetBells, TN 38006-3481 · (731) 663-3530 · Fax (731) 663-3531
Fax(731) 663-3531
Organization SubpartNo
Authorized OfficialChizoba N NnajiAssistant · (731) 663-3530
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMay 8, 2017
NPI 1790812956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in TN · 44-3974
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 0000032096 (TN)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN0000013147 (TN)
4937 COLLEGE ST, Bells, TN 38006

Other Identifiers 5

Medicare OSCAR/certification443974TN
Medicare ID-Type Unspecified3847625TN
Medicaid0443974TN
Medicare UPINH05855TN
Medicaid3847625TN

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 44D0989232

Liberty Medical Clinic PC · Bells, TN
Active · expires Jul 19, 2027
CLIA Number44D0989232
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorDr. Felix C. Nnaji
Laboratory Phone(731) 663-3530
Laboratory LocationLiberty Medical Clinic PC4937 College Street, Bells, TN 38006
CLIA data matches this NPI record on: Address Name Phone
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)
4937 COLLEGE ST
BELLS, TN 38006

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 Liberty Medical Clinic PC's NPI number?

The NPI number for Liberty Medical Clinic PC is 1790812956. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Liberty Medical Clinic PC located?

Liberty Medical Clinic PC is located at 4937 College St, Bells, TN 38006. The listed phone number is (731) 663-3530.

What is Liberty Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Liberty Medical Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0989232) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Liberty Medical Clinic PC 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 2 other insurers list Liberty Medical Clinic PC 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 Liberty Medical Clinic PC was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.