RENOVATION HEALTH AND WELLNESS
NPI 1336561943
Clinical Nurse Specialist - Family Health in Jacksboro, TN

Q: What is Renovation Health And Wellness's NPI number?

The NPI number for Renovation Health And Wellness is 1336561943. It was assigned to this organization in the NPPES registry on January 16, 2014.

Q: What is Renovation Health And Wellness's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Active since January 16, 2014CLIA 44D2005855 · Waiver

2707 JACKSBORO PIKE, SUITE 1A, JACKSBORO, TN 37757(423) 907-8186(423) 907-8187 Get Directions Write a Review

NPPES record last updated: January 16, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Renovation Health And Wellness NPPES

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

RENOVATION HEALTH AND WELLNESS (NPI 1336561943) is a healthcare organization registered as a family health in Jacksboro, Tennessee and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Patricia Eberharter, Chief Officer/owner, as its authorized official.

NPPES Registry Identity

NPI1336561943

Entity TypeOrganization

Primary Taxonomy364SF0001X

Legal Business NameRENOVATION HEALTH AND WELLNESS

Location Address2707 JACKSBORO PIKE, SUITE 1AJacksboro, TN 37757-2752

Mailing Address2707 Jacksboro Pike, Suite 1aJacksboro, TN 37757-2752 · (423) 907-8186 · Fax (423) 907-8187

Phone(423) 907-8186

Fax(423) 907-8187

Organization SubpartNo

Authorized OfficialPatricia EberharterChief Officer/owner · (423) 907-8186

Enumeration DateJanuary 16, 2014

✔ NPI 1336561943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Family HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SF0001X

License✔ Licensed in TN · 14789

2707 JACKSBORO PIKE, Jacksboro, TN 37757

Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 44D2005855

Renovation Health And Wellness, LLC · Jacksboro, TN

Active · expires Apr 6, 2028

CLIA Number44D2005855

Laboratory TypePractitioner Other

Certificate Effective DateApril 7, 2026

Certificate Expiration DateApril 6, 2028

Laboratory DirectorPatricia A. Eberharter

Laboratory Phone(423) 907-8186

Laboratory LocationRenovation Health And Wellness, LLC2707 Jacksboro Pike Suite 1A, Jacksboro, TN 37757

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. DANNY KEITH TACKETT DMD

Dentist

2707 JACKSBORO PIKE, SUITE #4
JACKSBORO, TN 37757

Campbell County (423) 566-0401

MARY KATE MOORE APRN, FNP-BC

Nurse Practitioner (Family)

2707 JACKSBORO PIKE, SUITE 1A
JACKSBORO, TN 37757

Campbell County (423) 907-8186

JACKSBORO URGENT CARE

Clinic/Center (Urgent Care)

2707 JACKSBORO PIKE, SUITE 2
JACKSBORO, TN 37757

Campbell County (423) 907-8186

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 Renovation Health And Wellness's NPI number?

The NPI number for Renovation Health And Wellness is 1336561943. It was assigned to this organization in the NPPES registry on January 16, 2014.

Where is Renovation Health And Wellness located?

Renovation Health And Wellness is located at 2707 Jacksboro Pike Suite 1A, Jacksboro, TN 37757. The listed phone number is (423) 907-8186.

What is Renovation Health And Wellness's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Family Health, with taxonomy code 364SF0001X.

Does Renovation Health And Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2005855) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renovation Health And Wellness accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Renovation Health And Wellness 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 Renovation Health And Wellness was last updated on January 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.