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Mckenzie Medical Center PC

Rural Health Clinic/Center in Mc Kenzie, TN · enumerated 2006 · authorized official Tammy Etheridge, Chief Operating Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477516953

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Registry record

Entity type Organization (Type 2)
Legal business name Mckenzie Medical Center PC
Other name <Unavail>
Practice address 205a Hospital Dr, Mc Kenzie, TN, 38201
Phone (731) 352-7907
Fax (833) 690-3848
Enumeration date Apr 7, 2006
Last updated in NPPES Dec 3, 2024

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License LSW5620 (TN) Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers · License LMFT917 (TN) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License ODT441 (TN) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License MD15682 (TN) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License MD46412 (TN) Secondary
261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA1503 (TN) Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License APN6244 (TN) Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Tammy Etheridge
Title Chief Operating Officer
Phone (731) 352-7907

Other identifiers

Identifier Type State Issuer
3380640 Other TN GROUP MEDICARE
3380640 Other TN GROUP MEDICAID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-12-03. Verify at npiregistry.cms.hhs.gov.
Where is Mckenzie Medical Center PC located?
The practice location on file with NPPES is in Mc Kenzie, TN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-03.