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SYNERGY MEDICAL ASSOCIATES, PLLC
NPI 1083159966
Clinic/Center - Primary Care in Crossville, TN

Active since December 30, 2016CLIA 44D2129791 · Waiver
57 W ADAMS ST, CROSSVILLE, TN 38555(931) 250-5433(931) 250-5434 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Synergy Medical Associates, Pllc NPPES

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

SYNERGY MEDICAL ASSOCIATES, PLLC (NPI 1083159966) is a healthcare organization registered as a primary care in Crossville, Tennessee and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Joanna Gibbs, Owner, as its authorized official.

NPPES Registry Identity

NPI1083159966
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSYNERGY MEDICAL ASSOCIATES, PLLC
Location Address57 W ADAMS STCrossville, TN 38555-4836
Mailing Address57 W Adams StCrossville, TN 38555-4836 · (931) 250-5433 · Fax (931) 250-5434
Phone(931) 250-5433
Fax(931) 250-5434
Organization SubpartNo
Authorized OfficialJoanna GibbsOwner · (931) 250-5433
Enumeration DateDecember 30, 2016
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1083159966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
57 W ADAMS ST, Crossville, TN 38555
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Synergy Medical Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Synergy Medical Associates, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joanna Gibbs, MD
Internal Medicine
NPI 1558372862
57 W ADAMS ST
Crossville, TN 38555
(931) 250-5433
✔ PECOS✔ Accepts MedicareSame address

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 44D2129791

Synergy Medical Associates, PLLC · Crossville, TN
Active · expires Apr 24, 2027
CLIA Number44D2129791
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorDr. Joanna C. Gibbs
Laboratory Phone(931) 250-5433
Laboratory LocationSynergy Medical Associates, PLLC57 West Adams Street, Crossville, TN 38555
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Synergy Medical Associates, PLLC's NPI number?

The NPI number for Synergy Medical Associates, PLLC is 1083159966. It was assigned to this organization in the NPPES registry on December 30, 2016.

Where is Synergy Medical Associates, PLLC located?

Synergy Medical Associates, PLLC is located at 57 W Adams St, Crossville, TN 38555. The listed phone number is (931) 250-5433.

What is Synergy Medical Associates, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Synergy Medical Associates, PLLC enrolled in Medicare?

Yes. Synergy Medical Associates, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Synergy Medical Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Synergy Medical Associates, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Synergy Medical Associates, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2129791) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Synergy Medical Associates, PLLC was last updated on December 29, 2023. 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.