PRIMARY CARE OF JAMESTOWN, LLC
NPI 1215717772
Clinic/Center - Rural Health in Jamestown, TN
About Primary Care Of Jamestown, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE OF JAMESTOWN, LLC (NPI 1215717772) is a healthcare organization registered as a rural health in Jamestown, Tennessee and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through November 19, 2027 and lists Tamara Eroh, Credentialing Mgr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Primary Care Of Jamestown, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Primary Care Of Jamestown, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
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 44D2294190
Primary Care Of Jamestown LLC · Jamestown, 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 Primary Care Of Jamestown, LLC's NPI number?
The NPI number for Primary Care Of Jamestown, LLC is 1215717772. It was assigned to this organization in the NPPES registry on October 3, 2023.
Where is Primary Care Of Jamestown, LLC located?
Primary Care Of Jamestown, LLC is located at 101 S Duncan St Ste C, Jamestown, TN 38556. The listed phone number is (931) 879-5864.
What is Primary Care Of Jamestown, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Primary Care Of Jamestown, LLC enrolled in Medicare?
Yes. Primary Care Of Jamestown, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care Of Jamestown, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Primary Care Of Jamestown, 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. The largest specialties are Nurse Practitioner (5) and Emergency Medicine (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primary Care Of Jamestown, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2294190) is associated with this NPI, valid through November 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Primary Care Of Jamestown, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Primary Care Of Jamestown, 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 Primary Care Of Jamestown, LLC was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Primary Care Of Jamestown, Llc · NPI 1215717772
Rural Health organization in Jamestown, Tennessee. Organization record, active in the CMS NPPES registry since October 3, 2023.
## Identity
- **NPI:** 1215717772 (Entity type: Organization)
- **Enumerated:** October 3, 2023
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Tamara Eroh, CREDENTIALING MGR
## Practice location
- **Address:** 101 S DUNCAN ST STE C, Jamestown, TN 38556-3007
- **Phone:** (931) 879-5864 · **Fax:** (931) 879-3903
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Emergency Medicine (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 10, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1215717772) · Data from the CMS NPPES public registry.