North Main Medical, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NORTH MAIN MEDICAL, LLC

Practice address

181 Matherly St
Crossville, TN 38555-1001

Phone

(931) 644-5423

Fax

(931) 710-5728

NPI assigned

Feb 21, 2020

Last updated

May 18, 2026By 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

Gina R Leary

Title

Credentialing Manager

Phone

(931) 248-1414

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

Practitioners 5

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.

• Angela Lynn Brown, FNP-BC

  • Family Nurse Practitioner
  • Crossville, TN
  • NPI 1053754408
  Medicare reassignment Care Compare group NPD
• Casey Dillon, PA

  • Physician Assistant
  • Crossville, TN
  • NPI 1184175739
  Medicare reassignment Care Compare group
• Steven Pribanich, MD

  • Family Medicine Physician
  • Crossville, TN
  • NPI 1912918343
  Medicare reassignment NPD
• Scott Alexander Stout, PA-C

  • Physician Assistant
  • Lebanon, TN
  • NPI 1942385893
  Medicare reassignment
• Jenny Annette Savage, NP

  • Nurse Practitioner
  • Crossville, TN
  • NPI 1275874232
  NPD

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1679106306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3350",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385573350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MATHERLY ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385551001",
            "telephone_number": "931-644-5423",
            "fax_number": "931-710-5728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3094 N MAINST",
            "address_purpose": "LOCATION",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38555",
            "country_code": "US",
            "telephone_number": "931-644-5423",
            "fax_number": "931-337-0155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH MAIN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "931-248-1414"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Christopher Newton, DC
• Robert E Nichols, MD
• Connie K Nicholson, DMD
• Kendra Norris, FNP
• Cali Norrod
• Northland Hearing Centers, Inc.
• Dorota Julita Nosarzewska, PTA
• Tomasz J Nosarzewski, PT
• NP Enterprises Inc (Family Walk-In Clinic)
• NP Enterprises, Inc. (Family Walk In Clinic)

• Primary Care Clinic/Center in Crossville, TN
• Providers in Crossville, 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 May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.