BANYAN FAMILY NIGHT CLINIC, LLC
NPI 1205318557
Nurse Practitioner - Family in Cleveland, TN
About Banyan Family Night Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANYAN FAMILY NIGHT CLINIC, LLC (NPI 1205318557) is a healthcare organization registered as a family in Cleveland, Tennessee and active in the NPI registry since September 2018. The organization lists Tammy Wingo-salmond, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Banyan Family Night Clinic, 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 Banyan Family Night Clinic, 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.
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 Banyan Family Night Clinic, LLC's NPI number?
The NPI number for Banyan Family Night Clinic, LLC is 1205318557. It was assigned to this organization in the NPPES registry on September 4, 2018.
Where is Banyan Family Night Clinic, LLC located?
Banyan Family Night Clinic, LLC is located at 276B James Asbury Dr NW, Cleveland, TN 37312. The listed phone number is (423) 464-5776.
What is Banyan Family Night Clinic, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Banyan Family Night Clinic, LLC enrolled in Medicare?
Yes. Banyan Family Night Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Banyan Family Night Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Banyan Family Night 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Banyan Family Night Clinic, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Banyan Family Night 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 Banyan Family Night Clinic, LLC was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Banyan Family Night Clinic, Llc · NPI 1205318557
Family organization in Cleveland, Tennessee. Organization record, active in the CMS NPPES registry since September 4, 2018.
## Identity
- **NPI:** 1205318557 (Entity type: Organization)
- **Enumerated:** September 4, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Tammy Wingo-Salmond, PROVIDER/OWNER
## Practice location
- **Address:** 276B JAMES ASBURY DR NW, Cleveland, TN 37312-2984
- **Phone:** (423) 464-5776 · **Fax:** (423) 464-5665
## 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:** September 4, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1205318557) · Data from the CMS NPPES public registry.