- Medicare Primary Care in South Fulton, TN

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is a medicare enrolled primary clinic (Clinic/center - Rural Health) in South Fulton, Tennessee. The current practice location for is 1135 Broadway Street, South Fulton, Tennessee. For appointments, you can reach them via phone at (731) 479-2606. The mailing address for is 1135 Broadway Street, South Fulton, Tennessee and phone number is (731) 479-2606.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1669876520. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (731) 479-2606.

Contact Information

1135 Broadway Street
South Fulton
TN 38257-2835
(731) 479-2606
(731) 479-2610

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1135 Broadway Street, South Fulton, Tennessee
Authorized Official Name and PositionTina Prescott (PRESIDENT AND CEO)
Authorized Official Contact7315415000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1135 Broadway Street
South Fulton
TN 38257-2835

Ph: (731) 479-2606
1135 Broadway Street
South Fulton
TN 38257-2835

Ph: (731) 479-2606

NPI Details:

NPI Number1669876520
Provider Enumeration Date10/21/2014
Last Update Date10/14/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5193070613
Medicare Enrollment IDO20180725000082

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669876520NPI-NPPES
Q012738MedicaidTN
044-3449MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health 0000000126 (Tennessee)Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Reviews and Comments


Clinic/Center in South Fulton, TN


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1135 Broadway St, South Fulton, TN 38257
Phone: 731-479-2606    Fax: 731-479-2610

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.