DRY CREEK MEDICAL CENTER
NPI 1396745162
Clinic/Center - Federally Qualified Health Center (FQHC) in Erwin, TN

Active since July 22, 2005CLIA 44D0310945 · Waiver
1826 N MAIN AVE, ERWIN, TN 37650(423) 743-6135(423) 743-0035 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dry Creek Medical Center NPPES

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

DRY CREEK MEDICAL CENTER (NPI 1396745162) is a healthcare organization registered as a federally qualified health center (fqhc) in Erwin, Tennessee and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Linda W Buck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396745162
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Location Address1826 N MAIN AVEErwin, TN 37650-8932
Mailing AddressPo Box 850Rogersville, TN 37857-0850 · (423) 272-9163 · Fax (423) 921-6920
Fax(423) 743-0035
Organization SubpartNo
Authorized OfficialLinda W BuckCeo · (423) 272-9163
Enumeration DateJuly 22, 2005
Last NPPES UpdateOctober 10, 2008
✔ NPI 1396745162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1826 N MAIN AVE, Erwin, TN 37650

Other Names 1

Doing Business AsDry Creek Medical Center

Other Identifiers 7

Other4122525TN · Bluecross Blueshield
Medicare PIN3703865
Other002Champus Provider
Other020021000Blacklung
Other3703868Cigna Medicare
Medicare ID-Type Unspecified441813
Medicaid4448096TN

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dry Creek Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Dry Creek Medical Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner34
Family Practice6
Clinical Social Worker2
Internal Medicine2
Physical Therapist in Private Practice2
Mental Health Counselor1
Pediatric Medicine1

Nearest to this location (20)

See all 48
Nurse Practitioner
NPI 1114680451
1826 N MAIN AVE
Erwin, TN 37650
(423) 743-6135
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1487382826
1826 N MAIN AVE
Erwin, TN 37650
(423) 743-6135
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114922937
1826 N MAIN AVE
Erwin, TN 37650
(423) 743-6135
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437638129
1826 N MAIN AVE
Erwin, TN 37650
(423) 743-6135
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649670639
600 BOONES CREEK RD
Jonesborough, TN 37659
(423) 788-9374
✔ PECOS10 mi
Nurse Practitioner
NPI 1417633314
105 LIMESTONE RURITAN ROAD.
Limestone, TN 37681
(423) 257-8089
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1225674856
152 HIGHWAY 143
Roan Mountain, TN 37687
(423) 772-3276
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1104821743
152 HIGHWAY 143
Roan Mountain, TN 37687
(423) 772-3276
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1467857979
152 HIGHWAY 143
Roan Mountain, TN 37687
(423) 772-3276
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1104168327
229 HIGHWAY 19 E
Bluff City, TN 37618
(423) 538-5116
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1023563368
229 HIGHWAY 19 E
Bluff City, TN 37618
(423) 538-5116
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1225436942
2994 CAMP CREEK RD
Greeneville, TN 37743
(423) 787-0680
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1710438486
137 NOTALEE ST
Newland, NC 28657
(828) 397-9334
✔ PECOS✔ Accepts Medicare26 mi
Family Practice
NPI 1568112878
2300 PAVILION DR
Kingsport, TN 37660
(423) 926-2358
✔ PECOS✔ Accepts Medicare27 mi
Family Practice
NPI 1861496390
1000 E CENTER ST
Kingsport, TN 37660
(423) 251-6996
✔ PECOS✔ Accepts Medicare27 mi
Clinical Social Worker
NPI 1013100072
4307 HIGHWAY 66 S SUITE 2
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare39 mi
Mental Health Counselor
NPI 1871789842
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare39 mi
Pediatric Medicine
NPI 1629076393
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS39 mi
Physical Therapist in Private Practice
NPI 1760256424
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ Accepts Medicare39 mi
Internal Medicine
NPI 1396008025
4307 HIGHWAY 66 S
Rogersville, TN 37857
(512) 509-9550
✔ PECOS✔ Accepts Medicare39 mi
See all 48 clinicians

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 44D0310945

Dry Creek Medical Center · Erwin, TN
Active · expires Jul 6, 2028
CLIA Number44D0310945
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorDr. Jose P. Velasco
Laboratory Phone(423) 743-6135
Laboratory LocationDry Creek Medical Center1826 North Main Avenue, Erwin, TN 37650
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rural Health Services Consortium Of Upper East Tennessee Inc's NPI number?

The NPI number for Rural Health Services Consortium Of Upper East Tennessee Inc is 1396745162. It was assigned to this organization in the NPPES registry on July 22, 2005. The provider is doing business as Dry Creek Medical Center.

Where is Rural Health Services Consortium Of Upper East Tennessee Inc located?

Rural Health Services Consortium Of Upper East Tennessee Inc is located at 1826 N Main Ave, Erwin, TN 37650. The listed phone number is (423) 743-6135.

What is Rural Health Services Consortium Of Upper East Tennessee Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Rural Health Services Consortium Of Upper East Tennessee Inc enrolled in Medicare?

Yes. Rural Health Services Consortium Of Upper East Tennessee Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rural Health Services Consortium Of Upper East Tennessee Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 7 Medicare specialties reassign their Medicare billing to Rural Health Services Consortium Of Upper East Tennessee Inc. 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 (34), Family Practice (6) and Clinical Social Worker (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rural Health Services Consortium Of Upper East Tennessee Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0310945) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rural Health Services Consortium Of Upper East Tennessee Inc was last updated on October 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.