VITAL CARE CLINIC OF ESTILL SPRINGS
NPI 1427829696
Family Medicine in Estill Springs, TN
About Vital Care Clinic Of Estill Springs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITAL CARE CLINIC OF ESTILL SPRINGS (NPI 1427829696) is a healthcare organization registered as a family medicine in Estill Springs, Tennessee and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists Amber Nicole Wooten, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Vital Care Clinic Of Estill Springs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Vital Care Clinic Of Estill Springs, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 44D2299163
Vital Care Clinic · Estill Springs, 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 Vital Care Clinic Of Estill Springs's NPI number?
The NPI number for Vital Care Clinic Of Estill Springs is 1427829696. It was assigned to this organization in the NPPES registry on January 15, 2024.
Where is Vital Care Clinic Of Estill Springs located?
Vital Care Clinic Of Estill Springs is located at 300 S Main St # A, Estill Springs, TN 37330. The listed phone number is (615) 612-9397.
What is Vital Care Clinic Of Estill Springs's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Vital Care Clinic Of Estill Springs enrolled in Medicare?
Yes. Vital Care Clinic Of Estill Springs is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vital Care Clinic Of Estill Springs?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Vital Care Clinic Of Estill Springs, in Internal Medicine and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vital Care Clinic Of Estill Springs hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2299163) is associated with this NPI, valid through February 13, 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 Vital Care Clinic Of Estill Springs was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.
# Vital Care Clinic Of Estill Springs · NPI 1427829696
Family Medicine organization in Estill Springs, Tennessee. Organization record, active in the CMS NPPES registry since January 15, 2024.
## Identity
- **NPI:** 1427829696 (Entity type: Organization)
- **Enumerated:** January 15, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Vital Care Clinic of Estill Springs (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Amber Wooten, OWNER/PROVIDER
## Practice location
- **Address:** 300 S MAIN ST # A, Estill Springs, TN 37330-4042
- **Phone:** (615) 612-9397
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Internal Medicine (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1427829696) · Data from the CMS NPPES public registry.