SPRING CITY FAMILY CLINIC PLLC
NPI 1023631454
Clinic/Center - Rural Health in Spring City, TN

Active since May 20, 2020CLIA 44D2197812 · Waiver
126 LAVENDER ST STE 2, SPRING CITY, TN 37381(423) 452-9984(423) 452-9980 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2021, Feb 9, 2021, May 22, 2020 (3 updates tracked since 2020).

About Spring City Family Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPRING CITY FAMILY CLINIC PLLC (NPI 1023631454) is a healthcare organization registered as a rural health in Spring City, Tennessee and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through October 26, 2026 and lists Joy Gibson, Owner, as its authorized official.

NPPES Registry Identity

NPI1023631454
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSPRING CITY FAMILY CLINIC PLLC
Location Address126 LAVENDER ST STE 2Spring City, TN 37381-5102
Mailing AddressPo Box 710Spring City, TN 37381-0710 · (423) 452-9984 · Fax (423) 452-9980
Fax(423) 452-9980
Organization SubpartNo
Authorized OfficialJoy GibsonOwner · (423) 452-9984
Enumeration DateMay 20, 2020
Last NPPES UpdateFebruary 12, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
NPI 1023631454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
126 LAVENDER ST STE 2, Spring City, TN 37381

Accepted Insurance

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 44D2197812

Spring City Family Clinic PLLC · Spring City, TN
Active · expires Oct 26, 2026
CLIA Number44D2197812
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorJim B. Young
Laboratory Phone(423) 452-9984
Laboratory LocationSpring City Family Clinic PLLC126 Lavender Street Ste 2, Spring City, TN 37381
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
126 LAVENDER ST STE 2
SPRING CITY, TN 37381

Frequently 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 Spring City Family Clinic PLLC's NPI number?

The NPI number for Spring City Family Clinic PLLC is 1023631454. It was assigned to this organization in the NPPES registry on May 20, 2020.

Where is Spring City Family Clinic PLLC located?

Spring City Family Clinic PLLC is located at 126 Lavender St Ste 2, Spring City, TN 37381. The listed phone number is (423) 452-9984.

What is Spring City Family Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Spring City Family Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2197812) is associated with this NPI, valid through October 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spring City Family Clinic PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Spring City Family Clinic PLLC 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 Spring City Family Clinic PLLC was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.