Active NPI
Express Med of Tennessee, LLC
- Rural Health Clinic/Center
- Lawrenceburg, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- EXPRESS MED OF TENNESSEE, LLC
- Practice address
- 726 N Locust Ave
1St Floor Suite D
Lawrenceburg, TN 38464-2802 - Phone
- (931) 766-7056
- Fax
- (931) 766-7057
- NPI assigned
- Mar 29, 2006
- Last updated
- Jan 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Stone, NP
- Title
- Owner
- Phone
- (931) 766-7056
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary | ||
| Nurse Practitioner | 363L00000X | 10841 | TN |
Addresses
Primary practice location
726 N Locust Ave
1St Floor Suite D
Lawrenceburg, TN 38464-2802
Mailing address
726 N Locust Ave
Lawrenceburg, TN 38464-2865
Phone (931) 766-7056
Other practice location 1
538 N Military St Ste D
Loretto, TN 38469-1203
Phone (931) 853-5356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 4
NPI to CCN mapping 2
The Medicare certification numbers (CCNs) connected to NPI 1679534879. Details of each certification follow.
Rural health clinic certification: CCN 883946
- Legal name
- EXPRESS MED OF TENNESSEE LLC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Apr 12, 2023
- Last certification
- Apr 12, 2023
- Ownership / control type
- 2A
- Organization structure
- LLC
- Incorporated
- Jan 21, 2016 in TN
- Enrollment address
- 538 N Military St
Ste D
Loretto, TN 38469-1203
Rural health clinic certification: CCN 883943
- Legal name
- EXPRESS MED OF TENNESSEE LLC
- Doing business as
- EXPRESS MED PRIMARY CARE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Apr 12, 2023
- Last certification
- Jun 1, 2026
- Ownership / control type
- 1C
- Organization structure
- LLC
- Incorporated
- Jan 21, 2016 in TN
- Enrollment address
- 726 N Locust Ave
Ste 1a, 1D, 2B
Lawrenceburg, TN 38464-2865
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1056296 | Express Med of Tennessee | Certificate of waiver | Jul 11, 2026 |
| 44D2273045 | Express Med of Tennessee LLC | Certificate of waiver | Dec 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
1640 S Wilson Dam Rd
Muscle Shoals, AL 35661
Phone (256) 320-7160
726 N Locust Ave
Ste 1A
Lawrenceburg, TN 38464
Phone (931) 244-7402
726 N Locust Ave
Ste 1D
Lawrenceburg, TN 38464
Phone (931) 766-7056
536 N Military St
Loretto, TN 38469
Phone (731) 853-5356
538 N Military St
Loretto, TN 38469
538 N Military St
Ste B
Loretto, TN 38469
538 N Military St
Ste D
Loretto, TN 38469
Phone (931) 853-5356
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ricky Stone | 5% Or Greater Direct Ownership Interest | Jan 21, 2016 | 20% |
| Operational/Managerial Control | Jan 21, 2016 | 20% | |
| 5% Or Greater Direct Ownership Interest | Dec 1, 2022 | 20% | |
| Operational/Managerial Control | Dec 1, 2022 | 20% | |
| Melanie K Stone | 5% Or Greater Direct Ownership Interest | Jan 21, 2016 | 20% |
| Operational/Managerial Control | Jan 21, 2016 | 20% | |
| 5% Or Greater Direct Ownership Interest | Dec 1, 2022 | 20% | |
| Operational/Managerial Control | Dec 1, 2022 | 20% | |
| Leah B Stone | 5% Or Greater Direct Ownership Interest | Jan 21, 2016 | 20% |
| Operational/Managerial Control | Jan 21, 2016 | 20% | |
| 5% Or Greater Direct Ownership Interest | Dec 1, 2022 | 20% | |
| Operational/Managerial Control | Dec 1, 2022 | 20% | |
| Racheal Gordon | 5% Or Greater Direct Ownership Interest | Jan 21, 2016 | 20% |
| Operational/Managerial Control | Jan 21, 2016 | 20% | |
| 5% Or Greater Direct Ownership Interest | Dec 1, 2022 | 20% | |
| Operational/Managerial Control | Dec 1, 2022 | 20% | |
| Emily McDonald | 5% Or Greater Direct Ownership Interest | Jan 21, 2016 | 20% |
| W-2 Managing Employee | Jan 21, 2016 | 20% | |
| Operational/Managerial Control | Jan 21, 2016 | 20% | |
| 5% Or Greater Direct Ownership Interest | Dec 1, 2022 | 20% | |
| W-2 Managing Employee | Dec 1, 2022 | 20% | |
| Operational/Managerial Control | Dec 1, 2022 | 20% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Lawrenceburg, TN
- NPI 1013375484
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Primary Care Nurse Practitioner
- Lawrenceburg, TN
- NPI 1467413922
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 17
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.
-
- Primary Care Nurse Practitioner
- Lawrenceburg, TN
- NPI 1467413922
-
- Primary Care Nurse Practitioner
- Lawrenceburg, TN
- NPI 1649040080
-
- Family Nurse Practitioner
- Lawrenceburg, TN
- NPI 1013375484
-
- Family Health Clinical Nurse Specialist
- Lawrenceburg, TN
- NPI 1376777508
-
- Family Nurse Practitioner
- Fairview, TN
- NPI 1699225367
-
- Family Nurse Practitioner
- Leoma, TN
- NPI 1669815759
-
- Internal Medicine Physician
- Lawrenceburg, TN
- NPI 1053392811
-
- Primary Care Nurse Practitioner
- Lawrenceburg, TN
- NPI 1861802407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769040000000",
"number": "1679534879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 N LOCUST AVE",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384642865",
"telephone_number": "931-766-7056",
"fax_number": "931-766-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 N LOCUST AVE",
"address_2": "1ST FLOOR SUITE D",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384642802",
"telephone_number": "931-766-7056",
"fax_number": "931-766-7057"
}
],
"practiceLocations": [
{
"address_1": "538 N Military St Ste D",
"address_purpose": "LOCATION",
"city": "Loretto",
"state": "TN",
"postal_code": "384691203",
"country_code": "US",
"telephone_number": "931-853-5356",
"fax_number": "931-853-5357",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EXPRESS MED OF TENNESSEE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "MELANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "931-766-7056",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "10841",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.