FAMILY MEDICAL CLINIC OF HARROGATE, P.C.
NPI 1417107210
Family Medicine in Harrogate, TN
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 2 active CLIA laboratory certificates and lists John Michael Robertson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Medical Clinic Of Harrogate, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Family Medical Clinic Of Harrogate, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 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, TNCertificate of Compliance 44D2138126
Family Medical Clinic Dba Family Medical Clinic Of Tazewell, PC · Tazewell, TNFrequently 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.
Is Family Medical Clinic Of Harrogate, P.C. enrolled in Medicare?
Yes. Family Medical Clinic Of Harrogate, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Medical Clinic Of Harrogate, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Family Medical Clinic Of Harrogate, P.C.. 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 (6) and Family Practice (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Medical Clinic Of Harrogate, P.C. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
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.
# Family Medical Clinic Of Harrogate, P.c. · NPI 1417107210
Family Medicine organization in Harrogate, Tennessee. Organization record, active in the CMS NPPES registry since September 29, 2008.
## Identity
- **NPI:** 1417107210 (Entity type: Organization)
- **Enumerated:** September 29, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** John Robertson, OWNER
## Practice location
- **Address:** 170 BEECH ST STE 1, Harrogate, TN 37752-8206
- **Phone:** (423) 869-3684 · **Fax:** (423) 869-5460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417107210) · Data from the CMS NPPES public registry.