MICHIE MEDICAL CLINIC, INC.
NPI 1861695900
Clinic/Center - Rural Health in Michie, TN
About Michie Medical Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHIE MEDICAL CLINIC, INC. (NPI 1861695900) is a healthcare organization registered as a rural health in Michie, Tennessee and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through February 20, 2028 and lists Brandon K Sumler, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Michie Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Michie Medical Clinic, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 44D0957508
Michie Medical Clinic Inc · Michie, 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 Michie Medical Clinic, Inc.'s NPI number?
The NPI number for Michie Medical Clinic, Inc. is 1861695900. It was assigned to this organization in the NPPES registry on June 6, 2007.
Where is Michie Medical Clinic, Inc. located?
Michie Medical Clinic, Inc. is located at 6659 Michie Pebble Hill Rd, Michie, TN 38357. The listed phone number is (731) 632-1783.
What is Michie Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Michie Medical Clinic, Inc. enrolled in Medicare?
Yes. Michie Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michie Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Michie Medical Clinic, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Michie Medical Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D0957508) is associated with this NPI, valid through February 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Michie Medical Clinic, Inc. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Michie Medical Clinic, 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 Michie Medical Clinic, Inc. was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Michie Medical Clinic, Inc. · NPI 1861695900
Rural Health organization in Michie, Tennessee. Organization record, active in the CMS NPPES registry since June 6, 2007.
## Identity
- **NPI:** 1861695900 (Entity type: Organization)
- **Enumerated:** June 6, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Brandon Sumler, DIRECTOR
## Practice location
- **Address:** 6659 MICHIE PEBBLE HILL RD, Michie, TN 38357-5115
- **Phone:** (731) 632-1783
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861695900) · Data from the CMS NPPES public registry.