NEWBERN MEDICAL CLINIC, PC
NPI 1790978294
Clinic/Center - Primary Care in Newbern, TN
About Newbern Medical Clinic, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEWBERN MEDICAL CLINIC, PC (NPI 1790978294) is a healthcare organization registered as a primary care in Newbern, Tennessee and active in the NPI registry since August 2007. The organization holds a CLIA Microscopy certificate valid through April 24, 2027 and lists Beverly Mccann, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Newbern Medical Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Newbern Medical Clinic, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 for Provider-Performed Microscopy Procedures (PPMP) 44D1031920
Newbern Medical Clinic PC · Newbern, 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 Newbern Medical Clinic, PC's NPI number?
The NPI number for Newbern Medical Clinic, PC is 1790978294. It was assigned to this organization in the NPPES registry on August 20, 2007.
Where is Newbern Medical Clinic, PC located?
Newbern Medical Clinic, PC is located at 105 N Monroe St, Newbern, TN 38059. The listed phone number is (731) 627-0734.
What is Newbern Medical Clinic, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Newbern Medical Clinic, PC enrolled in Medicare?
Yes. Newbern Medical Clinic, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Newbern Medical Clinic, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Newbern Medical Clinic, PC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Newbern Medical Clinic, PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D1031920) is associated with this NPI, valid through April 24, 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 Newbern Medical Clinic, PC was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Newbern Medical Clinic, Pc · NPI 1790978294
Primary Care organization in Newbern, Tennessee. Organization record, active in the CMS NPPES registry since August 20, 2007.
## Identity
- **NPI:** 1790978294 (Entity type: Organization)
- **Enumerated:** August 20, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Beverly Mccann, OWNER/PRESIDENT
## Practice location
- **Address:** 105 N MONROE ST, Newbern, TN 38059-1214
- **Phone:** (731) 627-0734 · **Fax:** (731) 627-0736
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2007
- **Other identifiers:** Other 3727670 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790978294) · Data from the CMS NPPES public registry.