Foust Medical Clinic, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

FOUST MEDICAL CLINIC, LLC

Practice address

849 Volunteer Dr Ste 2
Paris, TN 38242-5483

Phone

(731) 540-7075

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Daphne T Foust, MPAS, PA-CNPI 1699742205

Title

Physician Assistant/Owner

Phone

(731) 540-7075

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Rural health clinic certification: CCN 883846

Legal name

FOUST MEDICAL CLINIC, LLC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jun 28, 2021

Last certification

Jun 28, 2021

Ownership / control type

1A

Organization structure

LLCProprietary

Enrollment address

849 Volunteer Dr
Ste 2
Paris, TN 38242-5483

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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 1

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

• Daphne Tracy Foust, PA-C

  • Medical Physician Assistant
  • Paris, TN
  • NPI 1699742205

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

  CMS ownership

Practitioners 2

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

• Daphne Tracy Foust, PA-C

  • Medical Physician Assistant
  • Paris, TN
  • NPI 1699742205

  TN

  Medicare reassignment Authorized official
• Jean Nicole Tippitt, LCSW

  • Clinical Social Worker
  • Paris, TN
  • NPI 1184006231
  NPD (past)

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1154895670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 VOLUNTEER DR STE 2",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425483",
            "telephone_number": "731-540-7075",
            "fax_number": "731-227-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 VOLUNTEER DR STE 2",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425483",
            "telephone_number": "731-540-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUST MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "FOUST",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/OWNER",
        "authorized_official_telephone_number": "731-540-7075",
        "authorized_official_credential": "MPAS, PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby Trenton Finch
• Amanda Jane Finley, DO
• Fletcher Dental PLLC
• Jeffrey L Fletcher, D.D.S.
• Stephen D. Forrester
• Daphne Tracy Foust, PA-C
• Lindsay P Foust, DPM
• Lindsay A Fowler, PT
• Heather Jean France, BSW
• Jennifer French

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.