AMY JENKINS LLC
NPI 1144639154
Nurse Practitioner - Primary Care in Harriman, TN
About Amy Jenkins Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY JENKINS LLC (NPI 1144639154) is a healthcare organization registered as a primary care in Harriman, Tennessee and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through August 20, 2028 and lists Amy Adcox Jenkins, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy Jenkins Llc 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 Amy Jenkins LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 44D2082798
Amy Jenkins LLC · Harriman, 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 Amy Jenkins LLC's NPI number?
The NPI number for Amy Jenkins LLC is 1144639154. It was assigned to this organization in the NPPES registry on August 5, 2014.
Where is Amy Jenkins LLC located?
Amy Jenkins LLC is located at 413 Devonia St, Harriman, TN 37748. The listed phone number is (865) 590-7453.
What is Amy Jenkins LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Amy Jenkins LLC enrolled in Medicare?
Yes. Amy Jenkins LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Amy Jenkins LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Amy Jenkins 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Amy Jenkins LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2082798) is associated with this NPI, valid through August 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Amy Jenkins LLC was last updated on July 24, 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.
# Amy Jenkins Llc · NPI 1144639154
Primary Care organization in Harriman, Tennessee. Organization record, active in the CMS NPPES registry since August 5, 2014.
## Identity
- **NPI:** 1144639154 (Entity type: Organization)
- **Enumerated:** August 5, 2014
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Amy Jenkins, OWNER
## Practice location
- **Address:** 413 DEVONIA ST, Harriman, TN 37748-2010
- **Phone:** (865) 590-7453
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144639154) · Data from the CMS NPPES public registry.