WILLIAM B, ACREE CLINIC
NPI 1851697817
Clinic/Center - Federally Qualified Health Center (FQHC) in Ridgely, TN

Active since February 08, 2011CLIA 44D0313484 · Waiver
130 N MAIN ST, RIDGELY, TN 38080(731) 264-5518(731) 264-6859 Get Directions Write a Review

NPPES record last updated: February 8, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About William B, Acree Clinic NPPES

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

WILLIAM B, ACREE CLINIC (NPI 1851697817) is a healthcare organization registered as a federally qualified health center (fqhc) in Ridgely, Tennessee and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Gayanne Cartwright Williams, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1851697817
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCITIZENS OF LAKE COUNTY FOR HEALTH CARE INC
Location Address130 N MAIN STRidgely, TN 38080-1317
Mailing Address130 North Main StreetRidgely, TN 38080-1317 · (731) 264-5518 · Fax (731) 264-6859
Fax(731) 264-6859
Organization SubpartNo
Authorized OfficialGayanne Cartwright WilliamsExecutive Director · (731) 253-6690
Enumeration DateFebruary 8, 2011
✔ NPI 1851697817 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
License✔ Licensed in TN · 6899
130 N MAIN ST, Ridgely, TN 38080

Other Names 1

Doing Business AsWilliam B, Acree Clinic

Other Identifiers 1

Medicare PIN441827TN

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)

William B, Acree Clinic 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 William B, Acree Clinic, which bills Medicare for the services they deliver. Of these, 1 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)

Nurse Practitioner
NPI 1689667305
130 N MAIN ST
Ridgely, TN 38080
(731) 264-5518
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760159545
710 CARL PERKINS PKWY
Tiptonville, TN 38079
(731) 253-6690
✔ PECOS✔ Accepts Medicare7.3 mi
General Practice
NPI 1992848816
710 CARL PERKINS PARKWAY
Tiptonville, TN 38079
(731) 253-6690
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1285266676
710 CARL PERKINS PKWY
Tiptonville, TN 38079
(731) 253-6690
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1689914632
211 CHURCH ST
Tiptonville, TN 38079
(731) 623-5053
✔ PECOS✔ Accepts Medicare7.8 mi
Nurse Practitioner
NPI 1013889682
1900 PARR AVE
Dyersburg, TN 38024
(615) 905-5200
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1164745998
305 E TICKLE ST STE A
Dyersburg, TN 38024
(731) 589-9292
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1558954172
1954 SAINT JOHN AVE
Dyersburg, TN 38024
(731) 285-6110
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1538751854
1705 W REELFOOT AVE
Union City, TN 38261
(731) 599-1102
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1134883994
317 CLEVELAND ST
Ripley, TN 38063
(731) 221-1804
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1417479965
60 COMMERCIAL DR
Atoka, TN 38004
(901) 296-1156
✔ PECOS✔ Accepts Medicare62 mi

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 of Waiver 44D0313484

William B Acree Health Clinic · Ridgely, TN
Active · expires Aug 31, 2028
CLIA Number44D0313484
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorC W Guess MD
Laboratory Phone(901) 264-5518
Laboratory LocationWilliam B Acree Health Clinic130 North Main St, Ridgely, TN 38080
CLIA data matches this NPI record on: Address
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 Citizens Of Lake County For Health Care Inc's NPI number?

The NPI number for Citizens Of Lake County For Health Care Inc is 1851697817. It was assigned to this organization in the NPPES registry on February 8, 2011. The provider is doing business as William B, Acree Clinic.

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

Citizens Of Lake County For Health Care Inc is located at 130 N Main St, Ridgely, TN 38080. The listed phone number is (731) 264-5518.

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, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Citizens Of Lake County For Health Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0313484) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 1 other insurer 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 February 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.