TENNOVA PRIMARY CARE CARYVILLE
NPI 1023613361
Clinic/Center - Rural Health in Caryville, TN
About Tennova Primary Care Caryville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TENNOVA PRIMARY CARE CARYVILLE (NPI 1023613361) is a healthcare organization registered as a rural health in Caryville, Tennessee and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Paula Lalor, Director /delegated Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tennova Primary Care Caryville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Tennova Primary Care Caryville, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D2217530
Campbell County Hma LLC Dba Tennova Primary Care Caryville · Caryville, TNFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Campbell County Hma LLC's NPI number?
The NPI number for Campbell County Hma LLC is 1023613361. It was assigned to this organization in the NPPES registry on December 3, 2020. The provider is doing business as Tennova Primary Care Caryville.
Where is Campbell County Hma LLC located?
Campbell County Hma LLC is located at 140 John Mcghee Blvd, Caryville, TN 37714. The listed phone number is (865) 647-3230.
What is Campbell County Hma LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Campbell County Hma LLC enrolled in Medicare?
Yes. Campbell County Hma LLC is registered in the Medicare PECOS enrollment system.
When is Campbell County Hma LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Tennessee, Rural Health Clinic) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Campbell County Hma LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Campbell County Hma LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Family Practice (2) and Internal Medicine (2). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Campbell County Hma LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2217530) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Campbell County Hma LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Campbell County Hma LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Campbell County Hma LLC was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tennova Primary Care Caryville · NPI 1023613361
Rural Health organization in Caryville, Tennessee. Organization record, active in the CMS NPPES registry since December 3, 2020.
## Identity
- **NPI:** 1023613361 (Entity type: Organization)
- **Enumerated:** December 3, 2020
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Campbell County Hma Llc
- **Organization subpart:** No
- **Authorized official:** Paula Lalor, DIRECTOR /DELEGATED OFFICIAL
## Practice location
- **Address:** 140 JOHN MCGHEE BLVD, Caryville, TN 37714-3155
- **Phone:** (865) 647-3230 · **Fax:** (423) 566-6871
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Part A, Tennessee, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (2), Internal Medicine (2); 1 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023613361) · Data from the CMS NPPES public registry.