ADVANCED FAMILY AND URGENT CARE
NPI 1942375571
Nurse Practitioner - Family in Fayetteville, TN

Active since November 21, 2006CLIA 44D1061202 · Microscopy
18 ELDAD RD, FAYETTEVILLE, TN 37334(931) 438-8260(931) 438-8257 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Family And Urgent Care NPPES

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

ADVANCED FAMILY AND URGENT CARE (NPI 1942375571) is a healthcare organization registered as a family in Fayetteville, Tennessee and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through November 12, 2026 and lists Melinda T Williams, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1942375571
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameADVANCED FAMILY AND URGENT CARE
Location Address18 ELDAD RDFayetteville, TN 37334-7005
Mailing AddressPo Box 1118Fayetteville, TN 37334-1118 · (931) 438-8260 · Fax (931) 438-8257
Fax(931) 438-8257
Organization SubpartNo
Authorized OfficialMelinda T WilliamsNurse Practitioner · (931) 438-8260
Enumeration DateNovember 21, 2006
Last NPPES UpdateNovember 5, 2024
NPPES CertifiedNovember 5, 2024
✔ NPI 1942375571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 5968
18 ELDAD RD, Fayetteville, TN 37334

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Family And Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Family And Urgent Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1871548008
18 ELDAD RD
Fayetteville, TN 37334
(931) 438-8260
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 44D1061202

Advanced Family And Urgent Care Clinic · Fayetteville, TN
Active · expires Nov 12, 2026
CLIA Number44D1061202
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorMelinda T. Williams
Laboratory Phone(931) 438-8260
Laboratory LocationAdvanced Family And Urgent Care Clinic18 Eldad Road, Fayetteville, TN 37334
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Advanced Family And Urgent Care's NPI number?

The NPI number for Advanced Family And Urgent Care is 1942375571. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Advanced Family And Urgent Care located?

Advanced Family And Urgent Care is located at 18 Eldad Rd, Fayetteville, TN 37334. The listed phone number is (931) 438-8260.

What is Advanced Family And Urgent Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Advanced Family And Urgent Care enrolled in Medicare?

Yes. Advanced Family And Urgent Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Family And Urgent Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Advanced Family And Urgent Care. 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 Advanced Family And Urgent Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D1061202) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Family And Urgent Care was last updated on November 5, 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.