Active NPI
Union City Urgent Care LLC
- Family Nurse Practitioner
- Union City, TN
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records1
- Practitioners2
- Laboratory certificates & supplier records
- Medicare participation
- Rural health clinic certification: CCN 448959
- All disclosed owners & managing parties2
- National Provider Directory
- Specialties & licenses1
- Addresses
- NPI Registry JSON
- Other providers in Union City, TN
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0000106893
- Legal business name
- UNION CITY URGENT CARE LLC
- Practice address
- 1012 S Miles Ave
Union City, TN 38261-5432 - Phone
- (731) 885-8282
- Fax
- (731) 885-1998
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Carla A Hoffman
- Title
- Office Manager
- Phone
- (731) 885-8282
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Union City, TN
- NPI 1295722114
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1039846 | Union City Urgent Care, LLC | Certificate of waiver | Apr 24, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050617000633 | TN | Part B Supplier - Clinic/Group Practice | 3678517836 |
Receives reassigned benefits from 2 practitioners Practice locations: Union City, TN |
| O20151210001606 | TN | Part a Provider - Rural Health Clinic | 3678517836 | Practice locations: Union City, TN |
Rural health clinic certification: CCN 448959
Medicare enrollment files- Legal name
- UNION CITY URGENT CARE LLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Feb 23, 2016
- Last certification
- Mar 27, 2024
- Ownership / control type
- 1C
- Organization structure
- LLC
- Enrollment address
- 1012 S Miles Ave
Union City, TN 38261-5432
All disclosed owners & managing parties 2
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ginger P Odle | 5% Or Greater Direct Ownership Interest | Apr 1, 2005 | 50% |
| Operational/Managerial Control | May 26, 2022 | 50% | |
| Michael Chad Odle | 5% Or Greater Direct Ownership Interest | Apr 1, 2005 | 50% |
| Operational/Managerial Control | Apr 1, 2005 | 50% |
National Provider Directory
National Provider DirectoryLocations
1229 S 1st St
Union City, TN 38261
Phone (731) 885-8282
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0000106893 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1012 S Miles Ave
Union City, TN 38261-5432
Mailing address
PO Box 307
Union City, TN 38281-0307
Phone (731) 885-8282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2025.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754352000000",
"number": "1275698797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382810307",
"telephone_number": "731-885-8282",
"fax_number": "731-885-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 S MILES AVE",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615432",
"telephone_number": "731-885-8282",
"fax_number": "731-885-1998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNION CITY URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "CARLA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "731-885-8282",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "0000106893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.