Class 'a' Clinic LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

16835 Issued in TN

Legal business name

CLASS 'A' CLINIC LLC

Practice address

833 W Highway 25 70 Ste D
Newport, TN 37821-8045

Phone

(423) 720-9111

Fax

(423) 301-5756

NPI assigned

Sep 5, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charlene Crowder Matthews, APN-BCNPI 1447503842

Title

Practitioner

Phone

(423) 720-9111

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CLASS 'A' CLINIC LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlene Crowder Matthews, FNP

  • Adult Medicine Physician
  • Newport, TN
  • NPI 1447503842
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1073095154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W HIGHWAY 25 70 STE D",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378218045",
            "telephone_number": "423-720-9111",
            "fax_number": "423-301-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 W HIGHWAY 25 70 STE D",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378218045",
            "telephone_number": "423-720-9111",
            "fax_number": "423-301-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASS 'A' CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "CROWDER",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "423-720-9111",
        "authorized_official_credential": "APN-BC"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TN",
            "license": "16835",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q038489",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLASS 'A' CLINIC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Medicine Physician in Newport, TN
• Providers in Newport, TN by specialty
• Adult Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.