LAKE COUNTY PRIMARY CARE
NPI 1841311529
Clinic/Center - Federally Qualified Health Center (FQHC) in Tiptonville, TN

Active since April 02, 2007
710 CARL PERKINS PKWY, TIPTONVILLE, TN 38079(731) 253-6690(731) 253-6692 Get Directions Write a Review

NPPES record last updated: November 6, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lake County Primary Care NPPES

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

LAKE COUNTY PRIMARY CARE (NPI 1841311529) is a healthcare organization registered as a federally qualified health center (fqhc) in Tiptonville, Tennessee and active in the NPI registry since April 2007. The organization lists Amber Marie Isbell, Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1841311529
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCITIZENS OF LAKE COUNTY FOR HEALTH CARE INC
Location Address710 CARL PERKINS PKWYTiptonville, TN 38079
Mailing Address710 Carl Perkins PkwyTiptonville, TN 38079 · (731) 253-6690 · Fax (731) 253-6692
Fax(731) 253-6692
Organization SubpartNo
Authorized OfficialAmber Marie IsbellFinancial Officer · (731) 253-6690
Enumeration DateApril 2, 2007
Last NPPES UpdateNovember 6, 2012
✔ NPI 1841311529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
710 CARL PERKINS PKWY, Tiptonville, TN 38079

Other Names 1

Doing Business AsLake County Primary Care

Other Identifiers 4

Medicaid444-7958TN
Medicare ID-Type Unspecified441822TN · Lake County Primary Care
Other1992848816Npi Dr. Carol Guess
Medicare UPINC70365TN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake County Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Lake County Primary Care, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner10
General Practice1

Clinicians, nearest first (11)

General Practice
NPI 1992848816
710 CARL PERKINS PARKWAY
Tiptonville, TN 38079
(731) 253-6690
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285266676
710 CARL PERKINS PKWY
Tiptonville, TN 38079
(731) 253-6690
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760159545
710 CARL PERKINS PKWY
Tiptonville, TN 38079
(731) 253-6690
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689914632
211 CHURCH ST
Tiptonville, TN 38079
(731) 623-5053
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1689667305
130 N MAIN ST
Ridgely, TN 38080
(731) 264-5518
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1013889682
1900 PARR AVE
Dyersburg, TN 38024
(615) 905-5200
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1558954172
1954 SAINT JOHN AVE
Dyersburg, TN 38024
(731) 285-6110
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1164745998
305 E TICKLE ST STE A
Dyersburg, TN 38024
(731) 589-9292
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1538751854
1705 W REELFOOT AVE
Union City, TN 38261
(731) 599-1102
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1134883994
317 CLEVELAND ST
Ripley, TN 38063
(731) 221-1804
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1417479965
60 COMMERCIAL DR
Atoka, TN 38004
(901) 296-1156
✔ PECOS✔ Accepts Medicare69 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Citizens Of Lake County For Health Care Inc's NPI number?

The NPI number for Citizens Of Lake County For Health Care Inc is 1841311529. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Lake County Primary Care.

Where is Citizens Of Lake County For Health Care Inc located?

Citizens Of Lake County For Health Care Inc is located at 710 Carl Perkins Pkwy, Tiptonville, TN 38079. The listed phone number is (731) 253-6690.

What is Citizens Of Lake County For Health Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Citizens Of Lake County For Health Care Inc enrolled in Medicare?

Yes. Citizens Of Lake County For Health Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Citizens Of Lake County For Health Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Citizens Of Lake County For Health Care Inc. 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. The largest specialties are Nurse Practitioner (10) and General Practice (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Citizens Of Lake County For Health Care Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Citizens Of Lake County For Health Care Inc 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 Citizens Of Lake County For Health Care Inc was last updated on November 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.