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NEWBERN MEDICAL CLINIC, PC
NPI 1790978294
Clinic/Center - Primary Care in Newbern, TN

Active since August 20, 2007CLIA 44D1031920 · Microscopy
105 N MONROE ST, NEWBERN, TN 38059(731) 627-0734(731) 627-0736 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1790978294
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNEWBERN MEDICAL CLINIC, PC
Location Address105 N MONROE STNewbern, TN 38059-1214
Mailing Address105 N Monroe StNewbern, TN 38059-1214 · (731) 627-0734 · Fax (731) 627-0736
Phone(731) 627-0734
Fax(731) 627-0736
Organization SubpartNo
Authorized OfficialBeverly MccannOwner/president · (731) 627-0734
Enumeration DateAugust 20, 2007
✔ NPI 1790978294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TN · APN5297
105 N MONROE ST, Newbern, TN 38059
Open in Google Maps ↗

Other Identifiers 1

Other3727670TN · Medicare

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, TN
Active · expires Apr 24, 2027
CLIA Number44D1031920
Laboratory TypeIndependent
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorBeverly F. Mccann
Laboratory Phone(731) 627-0734
Laboratory LocationNewbern Medical Clinic PC105 N Monroe Street, Newbern, TN 38059
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

MRS. KELLY ALEXANDRIA HARDEN DNSC, FNP-BC
Nurse Practitioner (Family)
105 N MONROE ST
NEWBERN, TN 38059
Dyer County (731) 627-0734
BEVERLY D MCCANN FNP
Nurse Practitioner
105 N MONROE ST
NEWBERN, TN 38059
Dyer County (731) 627-0734

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 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.

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 18 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.