Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

McKenzie Medical Center PC

Organization Clinical Social Worker · NPI 1477516953

McKenzie Medical Center PC is a Clinical Social Worker in Mc Kenzie, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
9
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205A Hospital Dr
Mc Kenzie, TN 38201-1649
Phone: (731) 352-7907
Fax: (833) 690-3848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Clinical Social Worker Taxonomy 1041C0700X · Licence LSW5620 (TN)
Marriage & Family Therapist Taxonomy 106H00000X · Licence LMFT917 (TN)
Optometrist Taxonomy 152W00000X · Licence ODT441 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD15682 (TN)
Pediatrics Physician Taxonomy 208000000X · Licence MD46412 (TN)
Physician Assistant Taxonomy 363A00000X · Licence PA1503 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN6244 (TN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1477516953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Etheridge — Chief Operating Officer · (731) 352-7907
Other names Hometown Health Clinic
NPI enumeratedApril 7, 2006
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address205a Hospital Dr, Mc Kenzie, TN 38201-1649

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