NORTH MAIN MEDICAL, LLC – NPI #1679106306
Clinic/Center

NORTH MAIN MEDICAL, LLC is an AHC clinic located in CROSSVILLE, TN. NPPES has assigned the NPI number 1679106306 to NORTH MAIN MEDICAL, LLC on February 21, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was last updated on May 18, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTH MAIN MEDICAL, LLC below.

NPI Profile for
NORTH MAIN MEDICAL, LLC

NPI Number
1679106306
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTH MAIN MEDICAL, LLC
Primary location
181 MATHERLY ST
CROSSVILLE, TN 38555-1001
Phone: (931) 644-5423 Fax: (931) 710-5728
1 Other location(s):
3094 N MAINST
CROSSVILLE, TN 38555
Phone: (931) 644-5423
Fax: (931) 337-0155
Mailing address
PO BOX 3350
CROSSVILLE, TN 38557-3350
Phone: Fax:
Organization Subpart
No
Authorized Official
GINA LEARY
CREDENTIALING MANAGER
Phone: (931) 248-1414
Updated
Certification Date
May 18, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.