Hometown Health Clinic – Rural Health Clinic/Center, NPI 1477516953

Hometown Health Clinic is a healthcare provider. based in Mc kenzie, Tennessee. specializing in Rural Health Clinic/Center. The organization holds a License No. LSW5620 (TN). The NPI Number for Hometown Health Clinic is 1477516953

Main info

Organization
Name
Hometown Health Clinic
NPI
1477516953
Phone
(731) 352-7907
Address
205 HOSPITAL DR STE A
Authorized Official
TAMMY ETHERIDGE CHIEF OPERATING OFFICER
Enumeration Date
7 April 2006
Last Update Date
3 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness80
Years active:20State licenses:7Digital endpointsUpdated within 12 months

Provider Addresses for Hometown Health Clinic

  • 205 HOSPITAL DR STE A

    MC KENZIE, TN 382011649

    Phone: (731) 352-7907

    Fax: (731) 352-4459

    Type: Mailing

  • 205A HOSPITAL DR

    MC KENZIE, TN 382011649

    Phone: (731) 352-7907

    Fax: (833) 690-3848

    Type: Mailing

  • Mc Kenzie, 4, Piazza Andrea Costa, Centro storico, Fano, Pesaro e Urbino, Marche, 61032, Italy

    SUITE A

    MC KENZIE, TN 382011649

    Phone: (731) 352-7907

    Fax: (731) 352-4459

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-12-31 (161 days ago).

Enrollment records

1

Earliest due date

2025-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20200225000811ORural Health ClinicTN2025-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38201)

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Reviews

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Frequently asked questions

What is the standard ID for Hometown Health Clinic in the U.S.?
In the U.S., Hometown Health Clinic is identified by NPI 1477516953.
Quick check: is Hometown Health Clinic active?
Public NPPES data shows Hometown Health Clinic with an active NPI status right now.
What type of care does Hometown Health Clinic provide?
Hometown Health Clinic's profile centers on Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Which community is linked to Hometown Health Clinic?
Hometown Health Clinic shows a connection to Mc Kenzie, Tennessee in registry-derived data.
Who maintains Hometown Health Clinic's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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