Tennessee Family Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

000879494 Issued in TN

Legal business name

TENNESSEE FAMILY CLINIC

Practice address

1565 Wayne Rd
Savannah, TN 38372

Phone

(859) 948-7915

NPI assigned

Dec 27, 2016

Organization subpart

No

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

Authorized official

Name

Katherine Forsbach, FNP-C

Title

Nurse Practitioner/Owner

Phone

(859) 948-7915

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Rural health clinic certification: CCN 883802

Legal name

TENNESSEE FAMILY CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Feb 22, 2019

Last certification

Apr 22, 2026

Ownership / control type

1A

Organization structure

LLCProprietary

Incorporated

in TN

Enrollment address

275 Pickwick St
Savannah, TN 38372-2419

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 1

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.

• Katherine Welch Forsbach, FNP-C

  • Family Nurse Practitioner
  • Savannah, TN
  • NPI 1740532993

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

  CMS ownership

Practitioners 5

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

• Brandy Rogers

  • Family Nurse Practitioner
  • Savannah, TN
  • NPI 1487377131
  Medicare reassignment NPD
• Katherine Welch Forsbach, FNP-C

  • Family Nurse Practitioner
  • Savannah, TN
  • NPI 1740532993
  Medicare reassignment NPD
• Morgan Young

  • Primary Care Nurse Practitioner
  • Savannah, TN
  • NPI 1659025922
  Medicare reassignment NPD
• Dale Wayne Blackwelder, D.C.

  • Chiropractor
  • Savannah, TN
  • NPI 1932106820
  NPD (past)
• Gabrielle Ashlyn Morris

  • Primary Care Nurse Practitioner
  • Savannah, TN
  • NPI 1124942313
  NPD (past)

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1619412871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383724387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 WAYNE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "38372",
            "telephone_number": "859-948-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "FORSBACH",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "859-948-7915",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "000879494",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Savannah, TN
• Providers in Savannah, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.