LINCOLN TREE MEDICAL CLINIC OF TULLAHOMA, PLLC
NPI 1982972857
Clinic/Center - Pain in Manchester, TN
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
Specialties & Licenses 3
Other Names 1
Group Practice 1
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)
Lincoln Tree Medical Clinic Of Tullahoma, Pllc 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 Lincoln Tree Medical Clinic Of Tullahoma, PLLC, which bills Medicare for the services they deliver. Of these, 1 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 44D2034273
Proxima Centura PLLC Dba Lincoln Tree Medical Clinic · Manchester, 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 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.
Is Proxima Centauri, PLLC enrolled in Medicare?
Yes. Proxima Centauri, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Proxima Centauri, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Proxima Centauri, PLLC, in Anesthesiology and Nurse Practitioner. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Lincoln Tree Medical Clinic Of Tullahoma, Pllc · NPI 1982972857
Pain organization in Manchester, Tennessee. Organization record, active in the CMS NPPES registry since December 7, 2011.
## Identity
- **NPI:** 1982972857 (Entity type: Organization)
- **Enumerated:** December 7, 2011
- **Primary specialty:** Clinic/Center - Pain · taxonomy 261QP3300X
- **Legal business name:** Proxima Centauri, Pllc
- **Organization subpart:** No
- **Authorized official:** James Roth, PRESIDENT
## Practice location
- **Address:** 1600 MCARTHUR ST, Manchester, TN 37355-2522
- **Phone:** (931) 723-7950 · **Fax:** (931) 723-7950
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 31, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1982972857) · Data from the CMS NPPES public registry.