Class 'A' Clinic LLC
NPI 1073095154ActiveOrganization· Family Medicine, Adult Medicine· Newport, TN
Family Medicine, Adult Medicine in Newport, Tennessee, registered in NPPES in September 2018. The authorized official on file is Charlene Crowder Matthews, APN-BC, Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073095154 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 5, 2018 |
| Last updated in NPPES | Jun 6, 2025 |
| Certified by provider | Jun 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Adult Medicine Primary | 207QA0505X | 16835 | TN |
| Clinic/Center | 261Q00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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