CAMPBELL STATION PRIMARY CARE ASSOC
NPI 1184629735
Nurse Practitioner - Family in Knoxville, TN

Active since June 19, 2005
11541 KINGSTON PIKE, STE 101, KNOXVILLE, TN 37934(865) 675-7522(865) 671-3196 Get Directions Write a Review

NPPES record last updated: May 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Campbell Station Primary Care Assoc NPPES

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

CAMPBELL STATION PRIMARY CARE ASSOC (NPI 1184629735) is a healthcare organization registered as a family in Knoxville, Tennessee and active in the NPI registry since June 2005. The organization lists Robert Michael Martin, Chief Manager / Provider, as its authorized official.

NPPES Registry Identity

NPI1184629735
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameADVANTAGE FAMILY HEALTHCARE, PLLC
Location Address11541 KINGSTON PIKE, STE 101Knoxville, TN 37934-3918
Mailing Address11541 Kingston Pike, Ste 101Knoxville, TN 37934-3918 · (865) 675-7522 · Fax (865) 671-3196
Fax(865) 671-3196
Organization SubpartNo
Authorized OfficialRobert Michael MartinChief Manager / Provider · (865) 675-7522
Enumeration DateJune 19, 2005
Last NPPES UpdateMay 3, 2011
NPI 1184629735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · APN7953
11541 KINGSTON PIKE, Knoxville, TN 37934

Other Names 1

Doing Business AsCampbell Station Primary Care Assoc

Other Identifiers 7

Medicare ID-Type Unspecified3908484Performing Provider #
Other1922004159Individual Npi
Other1659403590Group Npi
Medicare UPINP19355
Medicaid3908484TN
Other44D0993636Clia Id Number
Medicare ID-Type Unspecified3728422Group Pricing Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 for Provider-Performed Microscopy Procedures (PPMP) 44D0993636

Advantage Family Healthcare PLLC Dba Campbell Station Primary Care Medicine · Knoxville, TN
Expired · Jul 22, 2026
CLIA Number44D0993636
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2024
Certificate Expiration DateJuly 22, 2026
Laboratory DirectorRobert M. Martin
Laboratory Phone(865) 675-7522
Laboratory LocationAdvantage Family Healthcare PLLC Dba Campbell Station Primary Care Medicine11541 Kingston Pike, Suite 101, Knoxville, TN 37934
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
11541 KINGSTON PIKE, STE 101
KNOXVILLE, TN 37934

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 Advantage Family Healthcare, PLLC's NPI number?

The NPI number for Advantage Family Healthcare, PLLC is 1184629735. It was assigned to this organization in the NPPES registry on June 19, 2005. The provider is doing business as Campbell Station Primary Care Assoc.

Where is Advantage Family Healthcare, PLLC located?

Advantage Family Healthcare, PLLC is located at 11541 Kingston Pike Ste 101, Knoxville, TN 37934. The listed phone number is (865) 675-7522.

What is Advantage Family Healthcare, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Advantage Family Healthcare, PLLC was last updated on May 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.