Organization Active NPI

Express Med of Tennessee, LLC

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
National Provider Identifier
1679534879
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Authorized official

Name
Melanie Stone, NPNPI 1467413922
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)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 TN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20160801002765 TN Part B Supplier - Clinic/Group Practice 3971896754 Receives reassigned benefits from 12 practitioners
Practice locations: Loretto, TN; Lawrenceburg, TN
O20170109002046 TN DME Supplier - Physician - Family Practice 3971896754 Practice locations: Lawrenceburg, TN
O20230118001602 TN Part A Provider - Rural Health Clinic 3971896754 Practice locations: Loretto, TN
O20230126003024 TN Part A Provider - Rural Health Clinic 3971896754 Practice locations: Lawrenceburg, TN

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
LLCProprietary
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
LLCProprietary
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 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
44D1056296Express Med of Tennessee726 N Locust Ave, 1St Floor, Suite D, Lawrenceburg, TN 38464Certificate of waiverJul 11, 2026
44D2273045Express Med of Tennessee LLC726 N Locust Ave 1a, 1D, 2B, Lawrenceburg, TN 38464Certificate of waiverDec 5, 2026

National Provider Directory

National Provider Directory

Locations

1640 S Wilson Dam Rd
Muscle Shoals, AL 35661
Phone (256) 320-7160

726 N Locust Ave
Ste 1D
Lawrenceburg, TN 38464
Phone (931) 766-7056

726 N Locust Ave
Ste 1A
Lawrenceburg, TN 38464
Phone (931) 244-7402

538 N Military St
Ste B
Loretto, TN 38469

536 N Military St
Loretto, TN 38469
Phone (731) 853-5356

538 N Military St
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.

NameRoleSinceShare
Ricky Stone Individual 5% Or Greater Direct Ownership Interest Jan 21, 2016 20%
Operational/Managerial ControlOwner, Ceo Jan 21, 2016 20%
5% Or Greater Direct Ownership Interest Dec 1, 2022 20%
Operational/Managerial ControlOwner, Ceo Dec 1, 2022 20%
Melanie K Stone Individual 5% Or Greater Direct Ownership Interest Jan 21, 2016 20%
Operational/Managerial ControlOwner, Provider Jan 21, 2016 20%
5% Or Greater Direct Ownership Interest Dec 1, 2022 20%
Operational/Managerial ControlOnwer, Provider Dec 1, 2022 20%
Leah B Stone Individual 5% Or Greater Direct Ownership Interest Jan 21, 2016 20%
Operational/Managerial ControlOwner, Provider Jan 21, 2016 20%
5% Or Greater Direct Ownership Interest Dec 1, 2022 20%
Operational/Managerial ControlOwner, Provider Dec 1, 2022 20%
Racheal Gordon Individual 5% Or Greater Direct Ownership Interest Jan 21, 2016 20%
Operational/Managerial ControlOwner Jan 21, 2016 20%
5% Or Greater Direct Ownership Interest Dec 1, 2022 20%
Operational/Managerial ControlOwner Dec 1, 2022 20%
Emily McDonald Individual 5% Or Greater Direct Ownership Interest Jan 21, 2016 20%
W-2 Managing Employee Jan 21, 2016 20%
Operational/Managerial ControlOwner Jan 21, 2016 20%
5% Or Greater Direct Ownership Interest Dec 1, 2022 20%
W-2 Managing Employee Dec 1, 2022 20%
Operational/Managerial ControlOwner 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.

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "10841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.