SKYWAY FAMILY CARE
NPI 1417603457
Nurse Practitioner - Family in Knoxville, TN
About Skyway Family Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SKYWAY FAMILY CARE (NPI 1417603457), doing business as South Knox Family Care, is a healthcare organization registered as a family in Knoxville, Tennessee and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through February 10, 2028 and lists Rose Anna Cunningham, Fnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Skyway Family Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 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
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Skyway Family Care, 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 (4)
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 44D2252453
Skyway Family Care, LLC · Knoxville, 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 Skyway Family Care's NPI number?
The NPI number for Skyway Family Care is 1417603457. It was assigned to this organization in the NPPES registry on February 28, 2022. The provider is doing business as South Knox Family Care.
Where is Skyway Family Care located?
Skyway Family Care is located at 4206 Chapman Hwy, Knoxville, TN 37920. The listed phone number is (865) 999-8301.
What is Skyway Family Care's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Skyway Family Care enrolled in Medicare?
Yes. Skyway Family Care is registered in the Medicare PECOS enrollment system.
When is Skyway Family Care'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 March 31, 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 Skyway Family Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Skyway Family Care. 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Skyway Family Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2252453) is associated with this NPI, valid through February 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Skyway Family Care accept?
Health plans from Cigna Healthcare list Skyway Family Care 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 Skyway Family Care was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Skyway Family Care · NPI 1417603457
Family organization in Knoxville, Tennessee. Organization record, active in the CMS NPPES registry since February 28, 2022.
## Identity
- **NPI:** 1417603457 (Entity type: Organization)
- **Enumerated:** February 28, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** South Knox Family Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Rose Cunningham, FNP
## Practice location
- **Address:** 4206 CHAPMAN HWY, Knoxville, TN 37920-4251
- **Phone:** (865) 999-8301 · **Fax:** (865) 999-8314
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417603457) · Data from the CMS NPPES public registry.