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KING'S WAY FAMILY MEDICINE, LLC
NPI 1083178974
Clinic/Center - Primary Care in Greeneville, TN

Active since January 25, 2019CLIA Certified · 2 labs
318 TUSCULUM BLVD, GREENEVILLE, TN 37745(423) 639-7700(423) 639-7700 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2019, Jan 25, 2019 (2 updates tracked since 2019).

About King's Way Family Medicine, Llc NPPES

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

KING'S WAY FAMILY MEDICINE, LLC (NPI 1083178974) is a healthcare organization registered as a primary care in Greeneville, Tennessee and active in the NPI registry since January 2019. The organization holds 2 active CLIA laboratory certificates and lists Heather Olson, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1083178974
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKING'S WAY FAMILY MEDICINE, LLC
Location Address318 TUSCULUM BLVDGreeneville, TN 37745-3926
Mailing Address318 Tusculum BlvdGreeneville, TN 37745-3926 · (386) 837-2969
Phone(423) 639-7700
Fax(423) 639-7700
Organization SubpartNo
Authorized OfficialHeather OlsonOwner/provider · (386) 801-3083
Enumeration DateJanuary 25, 2019
Last NPPES UpdateJanuary 30, 20192 updates tracked since enumeration
✔ NPI 1083178974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
318 TUSCULUM BLVD, Greeneville, TN 37745
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

King's Way Family Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to King's Way Family Medicine, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Heather Olson, ARNP
Nurse Practitioner
NPI 1215233812
318 TUSCULUM BLVD
Greeneville, TN 37745
(423) 639-7700
✔ PECOS✔ Accepts MedicareSame address
Deanna Williamson, FNP-C
Nurse Practitioner
NPI 1255142113
8604 OLD STAGE RD
Limestone, TN 37681
(828) 788-0083
✔ PECOS✔ Accepts Medicare10 mi
Jaime Mcclellan, APRN
Nurse Practitioner
NPI 1770113136
2012 CHILHOWEE MEDICAL PARK
Maryville, TN 37804
(865) 205-6449
✔ PECOS69 mi

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 2

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 44D2161832

King's Way Family Medicine LLC · Greeneville, TN
Active · expires Feb 11, 2027
CLIA Number44D2161832
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorHeather M. Olson
Laboratory Phone(423) 639-7700
Laboratory LocationKing's Way Family Medicine LLC318 Tusculum Blvd, Greeneville, TN 37745
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 44D2338124

King's Way Laboratory · Greeneville, TN
Active · expires Feb 4, 2028
CLIA Number44D2338124
Laboratory TypeIndependent
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorDr. Charles Tessier
Laboratory Phone(386) 801-3083
Laboratory LocationKing's Way Laboratory645 W Andrew Johnson Hwy, Greeneville, TN 37745
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 King's Way Family Medicine, LLC's NPI number?

The NPI number for King's Way Family Medicine, LLC is 1083178974. It was assigned to this organization in the NPPES registry on January 25, 2019.

Where is King's Way Family Medicine, LLC located?

King's Way Family Medicine, LLC is located at 318 Tusculum Blvd, Greeneville, TN 37745. The listed phone number is (423) 639-7700.

What is King's Way Family Medicine, LLC's specialty?

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

Is King's Way Family Medicine, LLC enrolled in Medicare?

Yes. King's Way Family Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through King's Way Family Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to King's Way Family Medicine, 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does King's Way Family Medicine, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does King's Way Family Medicine, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list King's Way Family Medicine, 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 King's Way Family Medicine, LLC was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.