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
- 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- 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 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.
| 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.
-
- Acute Care Nurse Practitioner
- Lawrenceburg, TN
- NPI 1639811326
Multi-Specialty, TN
-
- Family Health Clinical Nurse Specialist
- Lawrenceburg, TN
- NPI 1376777508
TN
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
- 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.