EMMAUS COMMUNITY HEALTHCARE, PLLC
NPI 1356379093
General Practice in Piney Flats, TN
About Emmaus Community Healthcare, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMMAUS COMMUNITY HEALTHCARE, PLLC (NPI 1356379093), doing business as Dba: Piney Flats Urgent Care, is a healthcare organization registered as a general practice in Piney Flats, Tennessee and active in the NPI registry since June 2006. The organization lists Charles L Backus, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Emmaus Community Healthcare, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Emmaus Community Healthcare, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
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 Emmaus Community Healthcare, PLLC's NPI number?
The NPI number for Emmaus Community Healthcare, PLLC is 1356379093. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as DBA: Piney Flats Urgent Care.
Where is Emmaus Community Healthcare, PLLC located?
Emmaus Community Healthcare, PLLC is located at 6419 Bristol Highway, Piney Flats, TN 37686. The listed phone number is (423) 538-5202.
What is Emmaus Community Healthcare, PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Emmaus Community Healthcare, PLLC enrolled in Medicare?
Yes. Emmaus Community Healthcare, PLLC is registered in the Medicare PECOS enrollment system.
When is Emmaus Community Healthcare, PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Emmaus Community Healthcare, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Emmaus Community Healthcare, PLLC. 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 (7), Family Practice (2) and Emergency Medicine (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Emmaus Community Healthcare, PLLC 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 Emmaus Community Healthcare, PLLC 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 Emmaus Community Healthcare, PLLC was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Emmaus Community Healthcare, Pllc · NPI 1356379093
General Practice organization in Piney Flats, Tennessee. Organization record, active in the CMS NPPES registry since June 29, 2006.
## Identity
- **NPI:** 1356379093 (Entity type: Organization)
- **Enumerated:** June 29, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** DBA: Piney Flats Urgent Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Charles Backus, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 6419 BRISTOL HIGHWAY, Piney Flats, TN 37686
- **Phone:** (423) 538-5202 · **Fax:** (423) 538-8208
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (2), Emergency Medicine (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2025
- **Other identifiers:** Medicaid 3726460 (TN); Other DD0861 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1356379093) · Data from the CMS NPPES public registry.