CAMPBELL STATION PRIMARY CARE ASSOC
NPI 1184629735
Nurse Practitioner - Family in Knoxville, TN
NPI Status: Active since June 19, 2005
Contact Information
11541 KINGSTON PIKE
STE 101
KNOXVILLE, TN
ZIP 37934
Phone: (865) 675-7522
Fax: (865) 671-3196
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 44D0993636
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-22-2026
About CAMPBELL STATION PRIMARY CARE ASSOC
This page provides the complete NPI Profile along with additional information for Campbell Station Primary Care Assoc, a provider established in Knoxville, Tennessee operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1184629735 assigned on June 2005. The practitioner's primary taxonomy code is 363LF0000X with license number APN7953 (TN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Campbell Station Primary Care Assoc. The authorized official of this NPI record is Mr. Robert Michael Martin Ms, Cfnp (Chief Manager / Provider)
- NPI
- 1184629735
- Provider Legal Name
- ADVANTAGE FAMILY HEALTHCARE, PLLC
- Other Organization Name
- CAMPBELL STATION PRIMARY CARE ASSOC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11541 KINGSTON PIKE STE 101 KNOXVILLE, TN 37934
- Location Phone
- (865) 675-7522
- Location Fax
- (865) 671-3196
- Mailing Address
- 11541 KINGSTON PIKE STE 101 KNOXVILLE, TN 37934
- Mailing Phone
- (865) 675-7522
- Mailing Fax
- (865) 671-3196
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2005
- Last Update Date
- 05-03-2011
- Code Navigator
A nurse practitioner (NP) like Campbell Station Primary Care Assoc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- APN7953
- License State
- TN
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3908484 | MEDICARE ID-TYPE UNSPECIFIED (04) | PERFORMING PROVIDER # | |
| 1922004159 | OTHER (01) | INDIVIDUAL NPI | |
| 1659403590 | OTHER (01) | GROUP NPI | |
| P19355 | MEDICARE UPIN (02) | ||
| 3908484 | MEDICAID (05) | TN | |
| 44D0993636 | OTHER (01) | CLIA ID NUMBER | |
| 3728422 | MEDICARE ID-TYPE UNSPECIFIED (04) | GROUP PRICING NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D0993636
- Facility Type
- Physician Office
- Certificate Effective Date
- July 23, 2024
- Certificate Expiration Date
- July 22, 2026
- Laboratory Director
- ROBERT M. MARTIN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Campbell Station Primary Care Assoc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1184629735, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
KNOXVILLE, TN 37934
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184629735, enumerated as an "organization" on June 19, 2005.
The provider is located at 11541 KINGSTON PIKE STE 101 KNOXVILLE, TN 37934 and the phone number is (865) 675-7522.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
