Elderberry Health PLLC
Organization Active NPI Rural Health Clinic/Center · Oneida, TN
NPI 1619974581 · NPPES record last updated Nov 6, 2025
Key facts
- NPI
- 1619974581
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ELDERBERRY HEALTH PLLC
- Practice address
- 189 Andrew St
Oneida, TN 37841-6296 - Phone
- (423) 569-3762
- Fax
- (423) 569-4909
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Dr. Peter Michael Litchfield
- Title
- Physician
- Phone
- (629) 289-3136
Owners & managing parties with NPI records 1
Other NPIs on the same Medicare enrollment 2
Practitioners 8
-
Elizabeth Bieri, CNM, IBCLC
-
Camille Campbell, APRN, FNP
-
April Dee Dearmon, FNP-C
-
John Paul Martin, MD
-
Suzanne Hope Sikes-Thurman, APRN-CNP, AGNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0961832 | Circle of Life Obstetrics and Family Care, PLLC | Provider-performed microscopy | Jun 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN
Rural health clinic certification: CCN 448995
- Legal name
- ELDERBERRY HEALTH PLLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Aug 8, 2018
- Last certification
- Aug 8, 2018
- Ownership / control type
- 1A
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 1, 1991 in TN
- Enrollment address
- 189 Andrew St
Oneida, TN 37841-6296
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Peter Michael Litchfield |
5% Or Greater Direct Ownership Interest |
Dec 21, 2023 | 100% |
| W-2 Managing Employee | Dec 21, 2023 | 100% | |
| Operational/Managerial Control | Dec 21, 2023 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041014001206 | TN | Part B Supplier - Clinic/Group Practice | 4486614302 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment Practice locations: Ashland City, TN |
| O20180124000634 | TN | Part a Provider - Rural Health Clinic | 4486614302 | Practice locations: Oneida, TN |
National Provider Directory
Locations
16771 Alberta St
Oneida, TN 37841
189 Andrew St
Oneida, TN 37841
Phone (423) 569-3276
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 26733 | TN | |
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
189 Andrew St
Oneida, TN 37841-6296
Mailing address
PO Box 23736
Nashville, TN 37202-3736
Phone (629) 289-3136
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65933152 | Medicaid | KY | |
| 3717532 | Medicaid | TN |
Other names
- Circle of Life Obstetrics and Family Care, PLLC
- John P Martin MD and Catherine S Martin DO
Other providers in Oneida, TN
- Sarah L Dunlap
- East Tennessee Addiction Specialists
- East Tennessee Medical Group, P.C.
- Benjamin Edwards
- Elderberry Health PLLC
- Elk Valley Home Health Care Agency, LLC
- Debra S Faires
- Jennifer Faires
- Family and Pediatric Care Clinic LLC
- Family First Urgent Care & Wellness
All providers in Oneida, TN · Rural Health Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.