ACCESS MEDICAL CLINIC LLC
NPI 1114881117
Clinic/Center - Rural Health in Jacksboro, TN

Q: 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.

Q: 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.

Active since December 13, 2025CLIA 44D2336371 · Waiver

2702 JACKSBORO PIKE, JACKSBORO, TN 37757(423) 374-7775(423) 374-7779 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 3, 2026, Dec 16, 2025, Dec 13, 2025 (3 updates tracked since 2025).

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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

NPI1114881117

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameACCESS MEDICAL CLINIC LLC

Location Address2702 JACKSBORO PIKEJacksboro, TN 37757-4850

Mailing Address4196 Highway 62 412 Ste AHardy, AR 72542-8002

Phone(423) 374-7775

Fax(423) 374-7779

Organization SubpartNo

Authorized OfficialMonya YorkCredentialing Director · (870) 856-1202

Enumeration DateDecember 13, 2025

Last NPPES UpdateJune 3, 20263 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1114881117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

2702 JACKSBORO PIKE, Jacksboro, TN 37757

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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, TN

Active · expires Dec 30, 2027

CLIA Number44D2336371

Laboratory TypePhysician Office

Certificate Effective DateDecember 31, 2025

Certificate Expiration DateDecember 30, 2027

Laboratory DirectorMark Hahn

Laboratory Phone(423) 374-7775

Laboratory LocationAccess Medical Clinic LLC2702 Jacksboro Pike, Jacksboro, TN 37757

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 15

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

ANTHONY BAIRD PA-C

Physician Assistant