WADDELL CLINIC PRIMARY CARE & AESTHETICS PLLC
NPI 1851164560
Family Medicine in Henry, TN

Q: What is Waddell Clinic Primary Care & Aesthetics PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 03, 2023CLIA 44D2296870 · Waiver

9785 HWY 79 S, HENRY, TN 38231(731) 423-1450(731) 423-1000 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2024, Nov 22, 2023, Nov 3, 2023 (3 updates tracked since 2023).

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About Waddell Clinic Primary Care & Aesthetics Pllc NPPES

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

WADDELL CLINIC PRIMARY CARE & AESTHETICS PLLC (NPI 1851164560) is a healthcare organization registered as a family medicine in Henry, Tennessee and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through January 7, 2028 and lists Donna Waddell, Owner, as its authorized official.

NPPES Registry Identity

NPI1851164560

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWADDELL CLINIC PRIMARY CARE & AESTHETICS PLLC

Location Address9785 HWY 79 SHenry, TN 38231

Mailing Address9785 Highway 79 SHenry, TN 38231-3613 · (731) 243-1450 · Fax (731) 243-1000

Phone(731) 423-1450

Fax(731) 423-1000

Organization SubpartNo

Authorized OfficialDonna WaddellOwner · (731) 415-8277

Enumeration DateNovember 3, 2023

Last NPPES UpdateMay 31, 20243 updates tracked since enumeration

NPPES CertifiedMay 31, 2024

✔ NPI 1851164560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

9785 HWY 79 S, Henry, TN 38231

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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 44D2296870

Waddell Clinic Primary Care & Aesthetics, PLLC · Henry, TN

Active · expires Jan 7, 2028

CLIA Number44D2296870

Laboratory TypePractitioner Other

Certificate Effective DateJanuary 8, 2026

Certificate Expiration DateJanuary 7, 2028

Laboratory DirectorDonna Jane Waddell

Laboratory Phone(731) 415-8277

Laboratory LocationWaddell Clinic Primary Care & Aesthetics, PLLC9785 Hwy 79 S, Henry, TN 38231

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 Waddell Clinic Primary Care & Aesthetics PLLC's NPI number?

The NPI number for Waddell Clinic Primary Care & Aesthetics PLLC is 1851164560. It was assigned to this organization in the NPPES registry on November 3, 2023.

Where is Waddell Clinic Primary Care & Aesthetics PLLC located?

Waddell Clinic Primary Care & Aesthetics PLLC is located at 9785 Hwy 79 S, Henry, TN 38231. The listed phone number is (731) 423-1450.

What is Waddell Clinic Primary Care & Aesthetics PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Waddell Clinic Primary Care & Aesthetics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2296870) is associated with this NPI, valid through January 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Waddell Clinic Primary Care & Aesthetics PLLC 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 1 other insurer list Waddell Clinic Primary Care & Aesthetics PLLC 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 Waddell Clinic Primary Care & Aesthetics PLLC was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.