LINCOLN TREE MEDICAL CLINIC OF TULLAHOMA, PLLC
NPI 1982972857
Clinic/Center - Pain in Manchester, TN

Q: What is Proxima Centauri, PLLC's NPI number?

The NPI number for Proxima Centauri, PLLC is 1982972857. It was assigned to this organization in the NPPES registry on December 7, 2011. The provider is doing business as Lincoln Tree Medical Clinic Of Tullahoma, PLLC.

Q: What is Proxima Centauri, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Active since December 07, 2011CLIA 44D2034273 · Waiver

1600 MCARTHUR ST, MANCHESTER, TN 37355(931) 723-7950(931) 723-7950 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Lincoln Tree Medical Clinic Of Tullahoma, Pllc NPPES

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

LINCOLN TREE MEDICAL CLINIC OF TULLAHOMA, PLLC (NPI 1982972857) is a healthcare organization registered as a pain in Manchester, Tennessee and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists James Edwards Roth, President, as its authorized official.

NPPES Registry Identity

NPI1982972857

Entity TypeOrganization

Primary Taxonomy261QP3300X

Legal Business NamePROXIMA CENTAURI, PLLC

Location Address1600 MCARTHUR STManchester, TN 37355-2522

Mailing AddressPo Box 437Manchester, TN 37349-0437 · (931) 723-7950 · Fax (931) 723-7815

Phone(931) 723-7950

Fax(931) 723-7950

Organization SubpartNo

Authorized OfficialJames Edwards RothPresident · (931) 723-7950

Enumeration DateDecember 7, 2011

Last NPPES UpdateOctober 31, 2012

✔ NPI 1982972857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities

Taxonomy Code261QP3300X

Also ListedChiropractorTaxonomy 111N00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

1600 MCARTHUR ST, Manchester, TN 37355

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Other Names 1

Doing Business AsLincoln Tree Medical Clinic Of Tullahoma, Pllc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 44D2034273

Proxima Centura PLLC Dba Lincoln Tree Medical Clinic · Manchester, TN

Active · expires Dec 19, 2027

CLIA Number44D2034273

Laboratory TypePhysician Office

Certificate Effective DateDecember 20, 2025

Certificate Expiration DateDecember 19, 2027

Laboratory DirectorJames E. Roth

Laboratory Phone(931) 723-7950

Laboratory LocationProxima Centura PLLC Dba Lincoln Tree Medical Clinic1600 Mcarthur St, Manchester, TN 37355

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. JAMES EDWARD ROTH MD

Anesthesiology (Pain Medicine)

1600 MCARTHUR ST
MANCHESTER, TN 37355

Coffee County (931) 723-7950

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 Proxima Centauri, PLLC's NPI number?

The NPI number for Proxima Centauri, PLLC is 1982972857. It was assigned to this organization in the NPPES registry on December 7, 2011. The provider is doing business as Lincoln Tree Medical Clinic Of Tullahoma, PLLC.

Where is Proxima Centauri, PLLC located?

Proxima Centauri, PLLC is located at 1600 Mcarthur St, Manchester, TN 37355. The listed phone number is (931) 723-7950.

What is Proxima Centauri, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Does Proxima Centauri, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2034273) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Proxima Centauri, PLLC 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 1 other insurer list Proxima Centauri, PLLC 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 Proxima Centauri, PLLC was last updated on October 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.