NPIMap

Organization Active NPI

Anew Family Medical PLLC

  • Rural Health Clinic/Center
  • Middleton, TN
National Provider Identifier
1245805712
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ANEW FAMILY MEDICAL PLLC
Practice address
702 S Main St
Middleton, TN 38052-3615
Phone
(731) 837-5028
Fax
(731) 837-5027
NPI assigned
May 26, 2021
Last updated
Dec 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ANEW FAMILY MEDICAL, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Katherine N Moore-Rhodes
Title
Co-Owner
Phone
(731) 837-5028

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Rural Health Clinic/Center 261QR1300X NU Primary
Primary Care Nurse Practitioner 363LP2300X NU

Addresses

Primary practice location

702 S Main St
Middleton, TN 38052-3615

Mailing address

111 Front St
Henderson, TN 38340-2313
Phone (731) 989-2829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200924003093 TN Part B Supplier - Clinic/Group Practice 7012334873 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Henderson, TN; Middleton, TN
O20210629003674 TN Part A Provider - Rural Health Clinic 7012334873 Practice locations: Middleton, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245805712. Details of each certification follow.

Rural health clinic certification: CCN 883852

Legal name
ANEW FAMILY MEDICAL PLLC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 3, 2021
Last certification
Nov 3, 2021
Ownership / control type
1C
Organization structure
LLCProprietary
Enrollment address
702 S Main St
Middleton, TN 38052-3615

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2227837Anew Family Medical PLLC702 S Main Street, Middleton, TN 38052Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory
Part of
Anew Family Medical PLLC

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Katherine Moore-Rhodes Individual 5% Or Greater Direct Ownership Interest May 28, 2020 50%
Corporate OfficerCo-Owner May 28, 2020 50%
Operational/Managerial ControlCo-Owner May 28, 2020 50%
Kimberly Roberts Individual 5% Or Greater Direct Ownership Interest May 28, 2020 50%
Corporate OfficerCo-Owner May 28, 2020 50%
Operational/Managerial ControlCo-Owner May 28, 2020 50%

Owners & managing parties with NPI records 1

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

  • Kimberly S Roberts, FNP
    • Family Nurse Practitioner
    • Henderson, TN
    • NPI 1407210685

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

    CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1245805712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FRONT ST",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402313",
            "telephone_number": "731-989-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S MAIN ST",
            "city": "MIDDLETON",
            "state": "TN",
            "postal_code": "380523615",
            "telephone_number": "731-837-5028",
            "fax_number": "731-837-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW FAMILY MEDICAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANEW FAMILY MEDICAL, PLLC",
        "enumeration_date": "2021-05-26",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "MOORE-RHODES",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "731-837-5028"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, TN

Sources for this page

Verify at the official NPI Registry.