Family Practice Clinic, PC
NPI 1023380474 · Family Nurse Practitioner · Dyersburg, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Family Practice Clinic, PC is a Family Nurse Practitioner organization in Dyersburg, TN (NPI 1023380474).
Provider details
- NPI number
- 1023380474
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Shari Tidwell, Owner/Provider(731) 286-6156
- License
- 6331 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-02-01
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Family Practice Clinic, PC's NPI number?
- Family Practice Clinic, PC's National Provider Identifier (NPI) is 1023380474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Practice Clinic, PC?
- Family Practice Clinic, PC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Family Practice Clinic, PC located?
- Family Practice Clinic, PC's practice location on file with NPPES is 1445 Parr Ave, Dyersburg, TN 38024-3153.
- What is Family Practice Clinic, PC's phone number?
- The practice phone number listed in the NPPES registry for Family Practice Clinic, PC is (731) 286-6156.
- Does Family Practice Clinic, PC accept Medicare?
- Family Practice Clinic, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Family Practice Clinic, PC?
- The authorized official listed on Family Practice Clinic, PC's NPPES record is Shari Tidwell, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Practice Clinic, PC's NPI active?
- Yes — Family Practice Clinic, PC's NPI (1023380474) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.