Organization Active NPI

Essential Family Medicine, LLC

  • Primary Care Clinic/Center
  • Shelbyville, TN
National Provider Identifier
1265712459
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
APN0000012679 Issued in TN
Legal business name
ESSENTIAL FAMILY MEDICINE, LLC
Practice address
885 Union St Ste a
Shelbyville, TN 37160-2607
Phone
(931) 685-5036
Fax
(931) 685-5097
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Lori Beth Dunnavant, FNP-CNPI 1144527276
Title
Owner
Phone
(931) 685-5036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X APN0000012679 TN Primary

Addresses

Primary practice location

885 Union St Ste a
Shelbyville, TN 37160-2607

Mailing address

885 Union St Ste a
Shelbyville, TN 37160-2607
Phone (931) 685-5036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120530000171 TN Part B Supplier - Clinic/Group Practice 3870756935 Receives reassigned benefits from 1 practitioner
Practice locations: Shelbyville, TN

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
44D2033607Essential Family Medicine, LLC885 Union St, Shelbyville, TN 37160Certificate of waiverJul 1, 2027

National Provider Directory

National Provider Directory

Locations

885 Union St
Shelbyville, TN 37160
Phone (931) 685-5036

1114 N Main St
Shelbyville, TN 37160
Phone (931) 684-0027

885 Union St
#A
Shelbyville, TN 37160
Phone (615) 684-8469

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1265712459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 UNION ST STE A",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602607",
            "telephone_number": "931-685-5036",
            "fax_number": "931-685-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 UNION ST STE A",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602607",
            "telephone_number": "931-685-5036",
            "fax_number": "931-685-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "DUNNAVANT",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-685-5036",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "APN0000012679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

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