NPIMap

Organization Active NPI

Elderberry Health PLLC

  • Rural Health Clinic/Center
  • Oneida, TN
National Provider Identifier
1619974581
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 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
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Dr. Peter Michael LitchfieldNPI 1134309990
Title
Physician
Phone
(629) 289-3136

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 26733 TN
Rural Health Clinic/Center 261QR1300X Primary

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 names 2

  • Circle of Life Obstetrics and Family Care, PLLC Former legal business name
  • John P Martin MD and Catherine S Martin DO Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619974581. Details of each certification follow.

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
LLCProprietary
Incorporated
Jul 1, 1991 in TN
Enrollment address
189 Andrew St
Oneida, TN 37841-6296

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
44D0961832Circle of Life Obstetrics and Family Care, PLLC189 Andrew Drive, Oneida, TN 37841Provider-performed microscopyJun 17, 2027

National Provider Directory

National Provider Directory

Locations

16771 Alberta St
Oneida, TN 37841

Ownership & related parties

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.

NameRoleSinceShare
Peter Michael Litchfield Individual 5% Or Greater Direct Ownership InterestCeo Dec 21, 2023 100%
W-2 Managing Employee Dec 21, 2023 100%
Operational/Managerial Control Dec 21, 2023 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1619974581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23736",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372023736",
            "telephone_number": "629-289-3136",
            "fax_number": "423-569-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 ANDREW ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416296",
            "telephone_number": "423-569-3762",
            "fax_number": "423-569-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERBERRY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "LITCHFIELD",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "629-289-3136",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "26733",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circle of Life Obstetrics and Family Care, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "John P Martin MD and Catherine S Martin DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oneida, TN

Sources for this page

Verify at the official NPI Registry.