HUMBOLDT FAMILY WALK-IN CLINIC LLC
NPI 1881135895
Clinic/Center - Rural Health in Humboldt, TN
About Humboldt Family Walk-in Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HUMBOLDT FAMILY WALK-IN CLINIC LLC (NPI 1881135895) is a healthcare organization registered as a rural health in Humboldt, Tennessee and active in the NPI registry since March 2017. The organization holds a CLIA Certificate of Compliance certificate valid through April 3, 2027 and lists Deborah L Graves, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Humboldt Family Walk-in Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Humboldt Family Walk-In Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 Compliance 44D2107298
Humboldt Family Walk-In Clinic · Humboldt, 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 Humboldt Family Walk-In Clinic LLC's NPI number?
The NPI number for Humboldt Family Walk-In Clinic LLC is 1881135895. It was assigned to this organization in the NPPES registry on March 10, 2017.
Where is Humboldt Family Walk-In Clinic LLC located?
Humboldt Family Walk-In Clinic LLC is located at 1600 Coleman Dr, Humboldt, TN 38343. The listed phone number is (731) 470-4020.
What is Humboldt Family Walk-In Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Humboldt Family Walk-In Clinic LLC enrolled in Medicare?
Yes. Humboldt Family Walk-In Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Humboldt Family Walk-In Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Humboldt Family Walk-In Clinic LLC. 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 (4) and Clinical Social Worker (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Humboldt Family Walk-In Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 44D2107298) is associated with this NPI, valid through April 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Humboldt Family Walk-In Clinic LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Humboldt Family Walk-In Clinic LLC 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 Humboldt Family Walk-In Clinic LLC was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Humboldt Family Walk-In Clinic Llc · NPI 1881135895
Rural Health organization in Humboldt, Tennessee. Organization record, active in the CMS NPPES registry since March 10, 2017.
## Identity
- **NPI:** 1881135895 (Entity type: Organization)
- **Enumerated:** March 10, 2017
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Deborah Graves, OWNER
## Practice location
- **Address:** 1600 COLEMAN DR, Humboldt, TN 38343-1756
- **Phone:** (731) 470-4020 · **Fax:** (731) 562-0349
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Clinical Social Worker (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881135895) · Data from the CMS NPPES public registry.