State of Tennessee

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

STATE OF TENNESSEE

Doing business as

Macon County Health Department

Practice address

601 Highway 52 Byp E
Lafayette, TN 37083-1009

Phone

(615) 666-2142

Fax

(615) 666-6153

NPI assigned

Jan 16, 2007

Last updated

Jan 7, 2025By 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

Tammy Stewart

Title

Cfo

Phone

(931) 520-4203

Specialties & licenses 2

Addresses

Other names 1

• Macon County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447301296. Details of each certification follow.

• CCN 441838 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 441838

Legal name

STATE OF TENNESSEE

Doing business as

MACON COUNTY HEALTH DEPARTMENT

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 1, 1991

Last certification

Oct 1, 1991

Ownership / control type

Non-profit – corporation

Organization structure

OtherNon-profit

Enrollment address

601 Highway 52 Byp E
Lafayette, TN 37083-1009

Tax ID family

Kingsport Health Center202 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Carroll County Health Department

  • Health Service Clinic/Center
  • Huntingdon, TN
  • NPI 1437454246
  NPD tax ID
• County of Sullivan

  dba Kingsport Health Center

  • Public Health or Welfare Agency
  • Kingsport, TN
  • NPI 1487876066
  NPD tax ID
• Department of Disability and Aging, Tennessee Early Intervention System (Teis)

  • Case Management Agency
  • Nashville, TN
  • NPI 1437526597
  NPD tax ID
• Department of Intellectual and Developmental Disabilities, State of TN

  • Public Health or Welfare Agency
  • Nashville, TN
  • NPI 1447618061
  NPD tax ID
• Earhart 1

  dba Middle Tennessee Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Nashville, TN
  • NPI 1427488154
  NPD tax ID
• Middle Tennessee Homes

  • Intellectual Disabilities Intermediate Care Facility
  • Hermitage, TN
  • NPI 1417333568
  NPD tax ID
• State of Tennessee

  • Clinic Pharmacy
  • Jackson, TN
  • NPI 1386863314
  NPD tax ID
• State of Tennessee

  dba Southeast TN Reg Public Health Pharmacy

  • Public Health or Welfare Agency
  • Chattanooga, TN
  • NPI 1417177528
  NPD tax ID
• State of Tennessee

  dba Tennessee Department of Intellectual and Developmental Disabilities

  • Occupational Therapist
  • Nashville, TN
  • NPI 1417337056
  NPD tax ID
• State of Tennessee

  dba Anderson County Health Department

  • State or Local Public Health Clinic/Center
  • Clinton, TN
  • NPI 1427102177
  NPD tax ID
• State of Tennessee

  dba DeKalb County Health Department

  • Federally Qualified Health Center (FQHC)
  • Smithville, TN
  • NPI 1437200474
  NPD tax ID
• State of Tennessee

  dba Warren County Health Department

  • Federally Qualified Health Center (FQHC)
  • McMinnville, TN
  • NPI 1437201837
  NPD tax ID

Locations

All disclosed owners & managing parties 3

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

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1447301296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ENGLAND DRIVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010924",
            "telephone_number": "931-520-4201",
            "fax_number": "931-520-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HIGHWAY 52 BYP E",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831009",
            "telephone_number": "615-666-2142",
            "fax_number": "615-666-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "931-520-4203"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Macon County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Federally Qualified Health Center (FQHC) in Lafayette, TN
• Providers in Lafayette, TN by specialty
• Federally Qualified Health Center (FQHC) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.