State of Tennessee

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

STATE OF TENNESSEE

Practice address

135 Walker St
Sparta, TN 38583-1725

Phone

(931) 836-2201

Fax

(931) 836-3580

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Tammy Stewart

Title

Cfo

Phone

(931) 520-4203

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• White County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Federally qualified health center certification: CCN 441847

Legal name

STATE OF TENNESSEE

Doing business as

WHITE COUNTY HEALTH DEPARTMENT

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 1, 1991

Last certification

Oct 1, 1991

Ownership / control type

Non-profit – corporation

Organization structure

OtherNon-profit

Enrollment address

135 Walker St
Sparta, TN 38583-1725

Tax ID family

Trousdale County Health202 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Bedford County Health Department

  • Registered Dietitian
  • Shelbyville, TN
  • NPI 1811021694
  NPD tax ID
• Gibson Co. Health Dept.

  • State or Local Public Health Clinic/Center
  • Trenton, TN
  • NPI 1821337387
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Waverly, TN
  • NPI 1760534556
  NPD tax ID
• State of Tennessee

  • Clinic Pharmacy
  • Cookeville, TN
  • NPI 1760603005
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Huntsville, TN
  • NPI 1780722520
  NPD tax ID
• State of Tennessee

  • Intellectual Disabilities Intermediate Care Facility
  • Greeneville, TN
  • NPI 1780958454
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Winchester, TN
  • NPI 1790822765
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Knoxville, TN
  • NPI 1801117379
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Johnson City, TN
  • NPI 1801191879
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Elizabethton, TN
  • NPI 1801941687
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Evensville, TN
  • NPI 1811034440
  NPD tax ID
• State of Tennessee

  • Public Health or Welfare Agency
  • Nashville, TN
  • NPI 1821141508
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1811049331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ENGLAND DRIVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010924",
            "telephone_number": "931-520-4201",
            "fax_number": "931-520-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WALKER ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831725",
            "telephone_number": "931-836-2201",
            "fax_number": "931-836-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "931-520-4203"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "444-7873",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sparta Medical Investors LP
• Melissa Mae Spaulding, LPC-MHSP
• Kimberly Annette Spivey, FPMHNP
• Spring Street Dentalcare
• Ashley Stafford
• Peyton Shea Stewart
• Regan Stewart
• Linda Stover, FNP
• Shelby Logan Stringer, PMHNP
• Vickie Billiesue Stringer

• All providers in Sparta, TN
• Federally Qualified Health Center (FQHC) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.