CLAY COUNTY FAMILY WELLNESS
NPI 1902287097
Nurse Practitioner in Livingston, TN

NPI Status: Active since June 15, 2015

Contact Information

500 W MAIN ST
LIVINGSTON, TN
ZIP 38570
Phone: (931) 823-5681
Fax: (931) 823-8203

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 44D0963738
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-31-2026

About CLAY COUNTY FAMILY WELLNESS

This page provides the complete NPI Profile along with additional information for Clay County Family Wellness, a provider established in Livingston, Tennessee operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1902287097 assigned on June 2015. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Clay County Family Wellness operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Clay County Family Wellness. The authorized official of this NPI record is Kathy Teague (Secretary)

NPI
1902287097
Provider Legal Name
AMG - LIVINGSTON, LLC
Other Organization Name
CLAY COUNTY FAMILY WELLNESS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
500 W MAIN ST LIVINGSTON, TN 38570
Location Phone
(931) 823-5681
Location Fax
(931) 823-8203
Mailing Address
330 SEVEN SPRINGS WAY BRENTWOOD, TN 37027
Mailing Phone
(615) 920-7000
Mailing Fax
(931) 823-8203
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2015
Last Update Date
05-28-2021
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A nurse practitioner (NP) like Clay County Family Wellness is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Secondary Locations

  • 8401 Hwy One Eleven
    Byrdstown, TN 38549
    (931) 823-9970
  • 110 Doctors Dr
    Celina, TN 38551
    (931) 243-3860
  • 4120 Bradford Hicks Dr
    Livingston, TN 38570
    (931) 823-5603

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207QG0300XAllopathic & Osteopathic Physicians

Family Medicine
Geriatric Medicine

 
3207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
4208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
5363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHY TEAGUE

Authorized Official Title
SECRETARY
Authorized Official Phone
(615) 920-7000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D0963738
Facility Type
Physician Office
Certificate Effective Date
June 01, 2024
Certificate Expiration Date
May 31, 2026
Laboratory Director
DR. JESSIE L. COPELAND JR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clay County Family Wellness to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CLAY COUNTY FAMILY WELLNESS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902287097
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29024814018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 4 + 8 + 1 + 4 + 0 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1902287097 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568426757 VINCENT LIND FROMKE M.D.
Individual
Internal Medicine500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-5681
1679537419 SAMANTHA EASTERLY MCLERRAN M.D.
Individual
Family Medicine500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-5681
1124224670SAMANTHA E. MCLERRAN, M. D. PLLC
Organization
Family Medicine500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-5681
1548466097LANGENBERG PLLC
Organization
Internal Medicine500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-5681
1295084168INTERNAL MEDICINE AT THE LIVINGSTON CLINIC
Organization
Internal Medicine500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-5681
1497182240MICHAEL T. COX
Organization
Internal Medicine500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-5681
1356305197 MICHAEL THOMAS COX M.D.
Individual
Internal Medicine500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-5681
1245655299 KELLI CARR APN
Individual
Nurse Practitioner500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-5681
1336127513 MARTHA JEANNE MOORE M.D.
Individual
Family Medicine500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-5681
1174644538DR. DAWN MICHELLE BARLOW MD
Individual
Internal Medicine500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-5681
1447660493DR. COURTNEY LYNN CUMMINGS MD
Individual
Internal Medicine500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-5681
1093202947 JACINDA MARIE DELK FNP-C
Individual
Nurse Practitioner (Family)500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-5603
1093340622 GABRIEL JOHNSON FNP-C
Individual
Nurse Practitioner (Family)500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-4016
1891759767 MARK TAYLOR LANGENBERG M.D.
Individual
Pediatrics500 W MAIN ST
LIVINGSTON, TN 38570
(931) 823-5681

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902287097, enumerated in the NPI registry as an "organization" on June 15, 2015

The provider is located at 500 W Main St Livingston, Tn 38570 and the phone number is (931) 823-5681

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

The provider's CLIA number is 44D0963738 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 15, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.