Healthcare Provider Details
I. General information
NPI: 1245805712
Provider Name (Legal Business Name): ANEW FAMILY MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
702 S MAIN ST
MIDDLETON TN
38052-3615
US
IV. Provider business mailing address
111 FRONT ST
HENDERSON TN
38340-2313
US
V. Phone/Fax
- Phone: 731-837-5028
- Fax: 731-837-5027
- Phone: 731-989-2829
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHERINE
N
MOORE-RHODES
Title or Position: CO-OWNER
Credential:
Phone: 731-837-5028