ACCESS MEDICAL CLINIC LLC
NPI 1114881117
Clinic/Center - Rural Health in Jacksboro, TN
About Access Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACCESS MEDICAL CLINIC LLC (NPI 1114881117) is a healthcare organization registered as a rural health in Jacksboro, Tennessee and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through December 30, 2027 and lists Monya York, Credentialing Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted 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)
Access Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Access Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
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 44D2336371
Access Medical Clinic LLC · Jacksboro, 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 Access Medical Clinic LLC's NPI number?
The NPI number for Access Medical Clinic LLC is 1114881117. It was assigned to this organization in the NPPES registry on December 13, 2025.
Where is Access Medical Clinic LLC located?
Access Medical Clinic LLC is located at 2702 Jacksboro Pike, Jacksboro, TN 37757. The listed phone number is (423) 374-7775.
What is Access Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Access Medical Clinic LLC enrolled in Medicare?
Yes. Access Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Access Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Access Medical Clinic 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 (7) and Family Practice (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Access Medical Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2336371) is associated with this NPI, valid through December 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Access Medical Clinic LLC accept?
Health plans from Cigna Healthcare list Access Medical Clinic 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 Access Medical Clinic LLC was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Access Medical Clinic Llc · NPI 1114881117
Rural Health organization in Jacksboro, Tennessee. Organization record, active in the CMS NPPES registry since December 13, 2025.
## Identity
- **NPI:** 1114881117 (Entity type: Organization)
- **Enumerated:** December 13, 2025
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Monya York, CREDENTIALING DIRECTOR
## Practice location
- **Address:** 2702 JACKSBORO PIKE, Jacksboro, TN 37757-4850
- **Phone:** (423) 374-7775 · **Fax:** (423) 374-7779
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114881117) · Data from the CMS NPPES public registry.