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VANDERBILT INTEGRATED PRIMARY CARE SHELBYVILLE
NPI 1952900862
Clinic/Center - Rural Health in Shelbyville, TN

Active since October 21, 2020CLIA 44D0947419 · Waiver
1612 N MAIN ST STE B, SHELBYVILLE, TN 37160(931) 685-2022 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2021, Dec 16, 2020, Dec 11, 2020 and 1 more (4 updates tracked since 2020).

About Vanderbilt Integrated Primary Care Shelbyville NPPES

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

VANDERBILT INTEGRATED PRIMARY CARE SHELBYVILLE (NPI 1952900862) is a healthcare organization registered as a rural health in Shelbyville, Tennessee and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through June 15, 2028 and lists Angela L Simmons, Vp - Finance, as its authorized official.

NPPES Registry Identity

NPI1952900862
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameVANDERBILT BEDFORD HOSPITAL, LLC
Location Address1612 N MAIN ST STE BShelbyville, TN 37160-2392
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(931) 685-2022
Organization SubpartNo
Authorized OfficialAngela L SimmonsVp - Finance · (615) 936-8875
Enumeration DateOctober 21, 2020
Last NPPES UpdateMarch 31, 20224 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1952900862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1612 N MAIN ST STE B, Shelbyville, TN 37160
Open in Google Maps ↗

Other Names 1

Doing Business AsVanderbilt Integrated Primary Care Shelbyville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 44D0947419

Vanderbilt Bedford Hospital, LLC Dba Vanderbilt Integrated Primary Care Shelbyville · Shelbyville, TN
Active · expires Jun 15, 2028
CLIA Number44D0947419
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorSheela Parrish
Laboratory Phone(931) 685-2022
Laboratory LocationVanderbilt Bedford Hospital, LLC Dba Vanderbilt Integrated Primary Care Shelbyville1612 N Main Street Suite B, Shelbyville, TN 37160
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ASHLEY RYAN MCFARLAND NURSE PRACTITIONER
Nurse Practitioner
1612 N MAIN ST STE B
SHELBYVILLE, TN 37160
Bedford County (931) 685-2022
TIFFANY COGGINS FNP-C
Nurse Practitioner (Family)
1612 N MAIN ST STE B
SHELBYVILLE, TN 37160
Bedford County (931) 685-2022
SHELBYVILLE HOSPITAL COMPANY LLC
Family Medicine
1612 N MAIN ST STE B
SHELBYVILLE, TN 37160
Bedford County (931) 685-2022
SHELBYVILLE HOSPITAL COMPANY LLC
Clinic/Center (Rural Health)
1612 N MAIN ST STE B
SHELBYVILLE, TN 37160
Bedford County (931) 685-2022
MR. GRAHM SMITH PA-C
Physician Assistant
1612 N MAIN ST STE B
SHELBYVILLE, TN 37160
Bedford County (931) 685-2022

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 Vanderbilt Bedford Hospital, LLC's NPI number?

The NPI number for Vanderbilt Bedford Hospital, LLC is 1952900862. It was assigned to this organization in the NPPES registry on October 21, 2020. The provider is doing business as Vanderbilt Integrated Primary Care Shelbyville.

Where is Vanderbilt Bedford Hospital, LLC located?

Vanderbilt Bedford Hospital, LLC is located at 1612 N Main St Ste B, Shelbyville, TN 37160. The listed phone number is (931) 685-2022.

What is Vanderbilt Bedford Hospital, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Vanderbilt Bedford Hospital, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0947419) is associated with this NPI, valid through June 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vanderbilt Bedford Hospital, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Vanderbilt Bedford Hospital, 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 Vanderbilt Bedford Hospital, LLC was last updated on March 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.