Dyersburg Family Walk-in Clinic LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

DYERSBURG FAMILY WALK-IN CLINIC LLC

Doing business as

Reelfoot Family Walk-In Clinic

Practice address

1954 St John Ave
Suite 1
Dyersburg, TN 38024

Phone

(731) 285-6110

Fax

(731) 285-6964

NPI assigned

Oct 19, 2007

Last updated

Apr 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christy Littlejohn

Title

Sr. Manager

Phone

(931) 981-1901

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Reelfoot Family Walk-In Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TN6 enrollments

Enrollment records 6

NPI to CCN mapping 5

The Medicare certification numbers (CCNs) connected to NPI 1174712780. Details of each certification follow.

• CCN 448913 Rural health clinic · Active · Details
• CCN 448940 Rural health clinic · Active · Details
• CCN 448937 Rural health clinic · Active · Details
• CCN 883804 Rural health clinic · Active · Details
• CCN 883832 Rural health clinic · Active · Details

Rural health clinic certification: CCN 448913

Legal name

DYERSBURG FAMILY WALK-IN CLINIC

Doing business as

REELFOOT FAMILY WALK-IN CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Apr 20, 2012

Last certification

Apr 2, 2018

Ownership / control type

1B

Organization structure

CorporationProprietary

Incorporated

Jan 15, 2011 in TN

Enrollment address

1516 E Reelfoot Ave
Union City, TN 38261-5850

Rural health clinic certification: CCN 448940

Legal name

DYERSBURG FAMILY WALK-IN CLINIC

Doing business as

REELFOOT FAMILY WALK-IN CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Oct 27, 2014

Last certification

Jan 24, 2024

Ownership / control type

1B

Organization structure

CorporationProprietary

Incorporated

Mar 8, 2011 in TN

Enrollment address

8633 Highway 22
Dresden, TN 38225-2309

Rural health clinic certification: CCN 448937

Legal name

DYERSBURG FAMILY WALK-IN CLINIC

Doing business as

REELFOOT FAMILY WALK-IN CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Sep 2, 2014

Last certification

Jan 24, 2024

Ownership / control type

1B

Organization structure

CorporationProprietary

Incorporated

Jan 15, 2011 in TN

Enrollment address

1954 Saint John Ave
Ste 1
Dyersburg, TN 38024-2034

Rural health clinic certification: CCN 883804

Legal name

DYERSBURG FAMILY WALK-IN CLINIC

Doing business as

REELFOOT FAMILY WALK-IN CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Oct 21, 2019

Last certification

Jan 24, 2024

Ownership / control type

1B

Organization structure

CorporationProprietary

Enrollment address

193 Jim Adams Dr
Paris, TN 38242-4965

Rural health clinic certification: CCN 883832

Legal name

DYERSBURG FAMILY WALK-IN CLINIC

Doing business as

REELFOOT FAMILY WALK-IN CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Dec 17, 2020

Last certification

Jan 24, 2024

Ownership / control type

1B

Organization structure

CorporationProprietary

Incorporated

in TN

Enrollment address

3980 Sr-21
Tiptonville, TN 38079-3425

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dyersburg Family Walk-in Clinic

  dba Reelfoot Family Walk-In Clinic

  • Family Nurse Practitioner
  • Union City, TN
  • NPI 1376832436

  O20040501000299

  Same enrollment

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 4

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.

• Karen Denise Daingerfield, FNP

  • Family Nurse Practitioner
  • McMinnville, TN
  • NPI 1538594494

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Renee Baker, FNP-C

  • Family Nurse Practitioner
  • Dyersburg, TN
  • NPI 1700343969
  Medicare reassignment Care Compare group NPD
• Linda A Barker, PA

  • Medical Physician Assistant
  • Martin, TN
  • NPI 1710967492
  Medicare reassignment Care Compare group NPD
• Kelly Smith Barnes, APRN

  • Primary Care Nurse Practitioner
  • Martin, TN
  • NPI 1194098145
  Medicare reassignment Care Compare group NPD
• Alexandra Buckland, APRN-FNP

  • Family Nurse Practitioner
  • Union City, TN
  • NPI 1871108811
  Medicare reassignment Care Compare group NPD
• Stephanie Ann Coleman, FNP

  • Family Nurse Practitioner
  • Dyersburg, TN
  • NPI 1285199802
  Medicare reassignment Care Compare group NPD
• Clarice Dobbs, APRN

  • Family Nurse Practitioner
  • Union City, TN
  • NPI 1275418964
  Medicare reassignment Care Compare group NPD
• William Adam Higham, PA-S

  • Physician Assistant
  • Paris, TN
  • NPI 1356939482
  Medicare reassignment Care Compare group NPD
• Rita Lynn Hollingsworth, APRN

  • Nurse Practitioner
  • Dyersburg, TN
  • NPI 1679954069
  Medicare reassignment Care Compare group NPD
• Tammy Javellana, F.N.P

  • Family Nurse Practitioner
  • Dyersburg, TN
  • NPI 1013112077
  Medicare reassignment Care Compare group NPD
• Allison Diane Jowers, PA-C

  • Medical Physician Assistant
  • Dyersburg, TN
  • NPI 1154696607
  Medicare reassignment Care Compare group NPD
• Tracey Kizer, NP

  • Nurse Practitioner
  • Union City, TN
  • NPI 1124027560
  Medicare reassignment Care Compare group NPD
• Elizabeth Lynch, FNP

  • Primary Care Nurse Practitioner
  • Dyersburg, TN
  • NPI 1205557261
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1174712780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 SAINT JOHN AVE STE 1",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242034",
            "telephone_number": "731-285-6110",
            "fax_number": "731-285-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 ST JOHN AVE",
            "address_2": "SUITE 1",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-285-6110",
            "fax_number": "731-285-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYERSBURG FAMILY WALK-IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "LITTLEJOHN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "SR. MANAGER",
        "authorized_official_telephone_number": "931-981-1901"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "111703",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37424857",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448940",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "448913",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reelfoot Family Walk-In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dyer County Government (Dyer Co. Office on Aging)
• Dyersburg City Schools
• Dyersburg Clinic Corp
• Dyersburg Dental Associates
• Dyersburg Family Eye Care
• Dyersburg HBP Medical Group LLC
• Dyersburg Health (Dyersburg Employee Pharmacy)
• Dyersburg Health
• Dyersburg Health (West Tennessee Healthcare Dyersburg Hospital)
• Dyersburg Home Care Services LLC (Regional Home Care Dyersburg)

• Rural Health Clinic/Center in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.