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FAMILY MEDICAL CLINIC OF HARROGATE, P.C.
NPI 1417107210
Family Medicine in Harrogate, TN

Active since September 29, 2008CLIA 44D0028568 · Certificate of Compliance
170 BEECH ST STE 1, HARROGATE, TN 37752(423) 869-3684(423) 869-5460 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Medical Clinic Of Harrogate, P.c. NPPES

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

FAMILY MEDICAL CLINIC OF HARROGATE, P.C. (NPI 1417107210) is a healthcare organization registered as a family medicine in Harrogate, Tennessee and active in the NPI registry since September 2008. The organization holds a CLIA Certificate of Compliance certificate valid through January 10, 2028 and lists John Michael Robertson, Owner, as its authorized official.

NPPES Registry Identity

NPI1417107210
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICAL CLINIC OF HARROGATE, P.C.
Location Address170 BEECH ST STE 1Harrogate, TN 37752-8206
Mailing AddressPo Box 750Harrogate, TN 37752-0750 · (423) 869-3684 · Fax (423) 869-5460
Phone(423) 869-3684
Fax(423) 869-5460
Organization SubpartNo
Authorized OfficialJohn Michael RobertsonOwner · (423) 869-3684
Enumeration DateSeptember 29, 2008
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1417107210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
170 BEECH ST STE 1, Harrogate, TN 37752
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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 2

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 Compliance 44D0028568

Family Medical Clinic Of Harrogate, PC Dba Family Medical Clinic · Harrogate, TN
Active · expires Jan 10, 2028
CLIA Number44D0028568
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorDr. John Michael Robertson
Laboratory Phone(423) 869-3684
Laboratory LocationFamily Medical Clinic Of Harrogate, PC Dba Family Medical Clinic170 Beech Street, Suite 1, Harrogate, TN 37752
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 44D2138126

Family Medical Clinic Dba Family Medical Clinic Of Tazewell, PC · Tazewell, TN
Expired · Aug 8, 2026
CLIA Number44D2138126
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorDr. John M. Robertson
Laboratory Phone(423) 869-3684
Laboratory LocationFamily Medical Clinic Dba Family Medical Clinic Of Tazewell, PC209 Irish Cemetery Rd, Tazewell, TN 37879
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

CASEY WILSON APN
Nurse Practitioner
170 BEECH ST STE 1
HARROGATE, TN 37752
Claiborne County (865) 579-6756
BRITTENY DONIELLE FULTZ APRN
Nurse Practitioner (Primary Care)
170 BEECH ST STE 1
HARROGATE, TN 37752
Claiborne County (423) 869-3684

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 Family Medical Clinic Of Harrogate, P.C.'s NPI number?

The NPI number for Family Medical Clinic Of Harrogate, P.C. is 1417107210. It was assigned to this organization in the NPPES registry on September 29, 2008.

Where is Family Medical Clinic Of Harrogate, P.C. located?

Family Medical Clinic Of Harrogate, P.C. is located at 170 Beech St Ste 1, Harrogate, TN 37752. The listed phone number is (423) 869-3684.

What is Family Medical Clinic Of Harrogate, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Family Medical Clinic Of Harrogate, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D0028568) is associated with this NPI, valid through January 10, 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 Family Medical Clinic Of Harrogate, P.C. was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.