Hometown Family Medical Clinic PLLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HOMETOWN FAMILY MEDICAL CLINIC PLLC

Practice address

418 B West Central Avenue
Jamestown, TN 38556

Phone

(931) 879-8794

Fax

(931) 879-8887

NPI assigned

Jul 19, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Connie Sue Lee, FNPNPI 1215239231

Title

Partner

Phone

(931) 879-8794

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Rural health clinic certification: CCN 883973

Legal name

HOMETOWN FAMILY MEDICAL CLINIC PLLC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jul 8, 2024

Last certification

Jul 8, 2024

Ownership / control type

1C

Organization structure

LLCProprietary

Enrollment address

418B Central Ave W
Jamestown, TN 38556-3031

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Mark Allen Clapp, M.D.

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1376592782

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Charlie Weichin Fang, MD

  • Family Medicine Physician
  • Whitwell, TN
  • NPI 1609962521

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Connie S. Lee, FNP-C

  • Family Nurse Practitioner
  • Jamestown, TN
  • NPI 1215239231

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

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

• Connie S. Lee, FNP-C

  • Family Nurse Practitioner
  • Jamestown, TN
  • NPI 1215239231

  Family, TN

  Medicare reassignment Care Compare group NPD Authorized official
• Amanda Collier

  • Family Nurse Practitioner
  • Byrdstown, TN
  • NPI 1669857850

  Family, TN

  Medicare reassignment Care Compare group NPD
• Sarah Elizabeth Jones, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Jamestown, TN
  • NPI 1538967088

  Family, TN

  Medicare reassignment Care Compare group NPD
• Mark Allen Clapp, M.D.

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1376592782

  TN

  Medicare reassignment NPD
• Jocelyn R Garrett, FNP

  • Family Nurse Practitioner
  • Oak Ridge, TN
  • NPI 1033350152

  Family, TN

  Medicare reassignment NPD
• Chad Alan Conatser, M.D.

  • Internal Medicine Physician
  • Crossville, TN
  • NPI 1760688923
  NPD
• Alan Dewitt Kennett Kelley, MD

  • Family Medicine Physician
  • Whitwell, TN
  • NPI 1558343087
  NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1154763134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385560950",
            "telephone_number": "931-879-8794",
            "fax_number": "931-879-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 B WEST CENTRAL AVENUE",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "38556",
            "telephone_number": "931-879-8794",
            "fax_number": "931-879-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN FAMILY MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "931-879-8794",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hma Fentress County General Hospital LLC
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• Stephanie Michelle Holt, LPC
• Home Comfort Medical Equipment
• HQM of Jamestown, LLC
• Huffs Transportation
• Daniel Huling, PHARM.D
• Independent Pharmacy Group, Inc.
• Mercy Emmanuel Isang, M.D.

• All providers in Jamestown, TN
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.