Dekalb Medical Clinic LLP
NPI 1700552890ActiveOrganization· Family Medicine· Smithville, TN
Family Medicine in Smithville, Tennessee, registered in NPPES in August 2021. The authorized official on file is Tonya R. Jennings, APN, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700552890 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2021 |
| Last updated in NPPES | Aug 18, 2021 |
| Certified by provider | Aug 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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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