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PRIMARY CARE OF JAMESTOWN, LLC
NPI 1215717772
Clinic/Center - Rural Health in Jamestown, TN

Active since October 03, 2023CLIA 44D2294190 · Waiver
101 S DUNCAN ST STE C, JAMESTOWN, TN 38556(931) 879-5864(931) 879-3903 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1215717772
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePRIMARY CARE OF JAMESTOWN, LLC
Location Address101 S DUNCAN ST STE CJamestown, TN 38556-3007
Mailing AddressPo Box 2801Crossville, TN 38557-2801 · (931) 200-2246 · Fax (931) 707-9474
Phone(931) 879-5864
Fax(931) 879-3903
Organization SubpartNo
Authorized OfficialTamara ErohCredentialing Mgr · (931) 200-2246
Enumeration DateOctober 3, 2023
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1215717772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedGeneral PracticeTaxonomy 208D00000X
101 S DUNCAN ST STE C, Jamestown, TN 38556
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 of Waiver 44D2294190

Primary Care Of Jamestown LLC · Jamestown, TN
Active · expires Nov 19, 2027
CLIA Number44D2294190
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorRichard G. Clark
Laboratory Phone(931) 879-5864
Laboratory LocationPrimary Care Of Jamestown LLC101-C S Duncan Street, Jamestown, TN 38556
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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.

MR. DALE WAYNE NORRIS M.D.
General Practice
101 S DUNCAN ST STE C
JAMESTOWN, TN 38556
Fentress County (931) 879-5864

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 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.

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.

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 with the weekly NPPES data releases published by CMS.