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HARROGATE FAMILY PRACTICE
NPI 1417119595
Nurse Practitioner in Harrogate, TN

Active since June 30, 2008CLIA 44D1082302 · Waiver
6976 CUMBERLAND GAP PKWY, HARROGATE, TN 37752(423) 869-3332(423) 869-2064 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Harrogate Family Practice NPPES

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

HARROGATE FAMILY PRACTICE (NPI 1417119595) is a healthcare organization registered as a nurse practitioner in Harrogate, Tennessee and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through April 3, 2028 and lists Amanda Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1417119595
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameHARROGATE FAMILY PRACTICE
Location Address6976 CUMBERLAND GAP PKWYHarrogate, TN 37752-8230
Mailing Address6976 Cumberland Gap PkwyHarrogate, TN 37752-8230 · (423) 869-3332 · Fax (423) 869-2064
Phone(423) 869-3332
Fax(423) 869-2064
Organization SubpartNo
Authorized OfficialAmanda BrownOwner · (423) 869-3332
Enumeration DateJune 30, 2008
Last NPPES UpdateJuly 29, 2008
✔ NPI 1417119595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · APN0000007778
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6976 CUMBERLAND GAP PKWY, Harrogate, TN 37752
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Other Identifiers 2

Medicare PIN3370318TN
Medicare PIN33411181TN

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 Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harrogate Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Harrogate Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Amanda Brown, FNP
Nurse Practitioner
NPI 1104941053
6976 CUMBERLAND GAP PKWY
Harrogate, TN 37752
(423) 869-3332
✔ PECOS✔ Accepts MedicareSame address
Baylie Graves, NP-C
Nurse Practitioner
NPI 1760253769
6976 CUMBERLAND GAP PKWY
Harrogate, TN 37752
(423) 869-3332
✔ PECOS✔ Accepts Medicare0.5 mi
Monica Prater, NP
Nurse Practitioner
NPI 1053108399
2212 JACKSBORO PIKE
La Follette, TN 37766
(423) 566-8181
✔ PECOS✔ Accepts Medicare32 mi

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 44D1082302

Harrogate Family Practice · Harrogate, TN
Active · expires Apr 3, 2028
CLIA Number44D1082302
Laboratory TypePractitioner Other
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorAmanda G. Brown
Laboratory Phone(865) 377-3390
Laboratory LocationHarrogate Family Practice6976 Cumberland Gap Pkwy, Harrogate, TN 37752
CLIA data matches this NPI record on: Address Name
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 Harrogate Family Practice's NPI number?

The NPI number for Harrogate Family Practice is 1417119595. It was assigned to this organization in the NPPES registry on June 30, 2008.

Where is Harrogate Family Practice located?

Harrogate Family Practice is located at 6976 Cumberland Gap Pkwy, Harrogate, TN 37752. The listed phone number is (423) 869-3332.

What is Harrogate Family Practice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Harrogate Family Practice enrolled in Medicare?

Yes. Harrogate Family Practice is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harrogate Family Practice?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Harrogate Family Practice. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Harrogate Family Practice hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1082302) is associated with this NPI, valid through April 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Harrogate Family Practice accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Harrogate Family Practice 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 Harrogate Family Practice was last updated on July 29, 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.