Organization Active NPI

Small Town Medical

  • Nurse Practitioner
  • Waverly, TN
National Provider Identifier
1871385385
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SMALL TOWN MEDICAL
Doing business as
Small Town Medical
Practice address
209 W Main St
Waverly, TN 37185-1510
Phone
(205) 587-7215
NPI assigned
May 20, 2025
Last updated
Nov 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Della Teresa Hemphill, NPNPI 1427096130
Title
Owner
Phone
(931) 299-4945

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

209 W Main St
Waverly, TN 37185-1510

Mailing address

209 W Main St
Waverly, TN 37185-1510
Phone (931) 299-4945

Other names 1

  • Small Town Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250830000169 TN Part B Supplier - Clinic/Group Practice 4688175664 Receives reassigned benefits from 3 practitioners
Practice locations: Waverly, TN

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
44D2335447Small Town Medical Clinic209 W Main St, Waverly, TN 37185Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1871385385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W MAIN ST",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851510",
            "telephone_number": "931-299-4945",
            "fax_number": "931-299-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W MAIN ST",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371851510",
            "telephone_number": "205-587-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TOWN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "HEMPHILL",
        "authorized_official_first_name": "DELLA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-299-4945",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Small Town Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waverly, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.