MASHBURN FAMILY HEALTH, PLLC
NPI 1861162430
Clinic/Center - Primary Care in Pulaski, TN
About Mashburn Family Health, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MASHBURN FAMILY HEALTH, PLLC (NPI 1861162430) is a healthcare organization registered as a primary care in Pulaski, Tennessee and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Steven N Mashburn, Np/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mashburn Family Health, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mashburn Family Health, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 44D2250374
Mashburn Family Health · Pulaski, 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 Mashburn Family Health, PLLC's NPI number?
The NPI number for Mashburn Family Health, PLLC is 1861162430. It was assigned to this organization in the NPPES registry on September 15, 2021.
Where is Mashburn Family Health, PLLC located?
Mashburn Family Health, PLLC is located at 1102 E College St, Pulaski, TN 38478. The listed phone number is (931) 300-0534.
What is Mashburn Family Health, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Mashburn Family Health, PLLC enrolled in Medicare?
Yes. Mashburn Family Health, PLLC is registered in the Medicare PECOS enrollment system.
When is Mashburn Family Health, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Mashburn Family Health, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mashburn Family Health, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mashburn Family Health, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2250374) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mashburn Family Health, PLLC was last updated on February 21, 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.
# Mashburn Family Health, Pllc · NPI 1861162430
Primary Care organization in Pulaski, Tennessee. Organization record, active in the CMS NPPES registry since September 15, 2021.
## Identity
- **NPI:** 1861162430 (Entity type: Organization)
- **Enumerated:** September 15, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Steven Mashburn, NP/OWNER
## Practice location
- **Address:** 1102 E COLLEGE ST, Pulaski, TN 38478-4519
- **Phone:** (931) 300-0534
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861162430) · Data from the CMS NPPES public registry.