Smith County Family Medical LLC
NPI 1053867184ActiveOrganization· Nurse Practitioner, Family· Gordonsville, TN
Nurse Practitioner, Family in Gordonsville, Tennessee, registered in NPPES in August 2016. The authorized official on file is Kimberly Dawn Gregory, FNP, Owner/Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053867184 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2016 |
| Last updated in NPPES | Jul 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 13604 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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