BOONES CREEK URGENT CARE
NPI 1609158120
Clinic/Center - Urgent Care in Erwin, TN
About Boones Creek Urgent Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOONES CREEK URGENT CARE (NPI 1609158120) is a healthcare organization registered as an urgent care in Erwin, Tennessee and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through October 17, 2027, maintains a secondary practice location in Johnson City, and lists Harold Lance Debord, Managing Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Secondary Practice Location 1
Accepted 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)
Boones Creek Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Boones Creek Urgent Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 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 44D2067590
Boones Creek Urgent Care · Johnson City, 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 Urgent Care Of Erwin, LLC's NPI number?
The NPI number for Urgent Care Of Erwin, LLC is 1609158120. It was assigned to this organization in the NPPES registry on September 10, 2011. The provider is doing business as Boones Creek Urgent Care and Urgent Care of Erwin.
Where is Urgent Care Of Erwin, LLC located?
Urgent Care Of Erwin, LLC is located at 800 S Mohawk Dr Suite E, Erwin, TN 37650. The listed phone number is (423) 735-0500.
What is Urgent Care Of Erwin, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Urgent Care Of Erwin, LLC enrolled in Medicare?
Yes. Urgent Care Of Erwin, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Urgent Care Of Erwin, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Urgent Care Of Erwin, LLC. 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 (3) and Emergency Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Urgent Care Of Erwin, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2067590) is associated with this NPI, valid through October 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Urgent Care Of Erwin, LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Urgent Care Of Erwin, LLC 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 Urgent Care Of Erwin, LLC was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Boones Creek Urgent Care · NPI 1609158120
Urgent Care organization in Erwin, Tennessee. Organization record, active in the CMS NPPES registry since September 10, 2011.
## Identity
- **NPI:** 1609158120 (Entity type: Organization)
- **Enumerated:** September 10, 2011
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Legal business name:** Urgent Care Of Erwin, Llc
- **Also known as:** Urgent Care of Erwin (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Harold Debord, MANAGING MEMBER
## Practice location
- **Address:** 800 S MOHAWK DR, SUITE E, Erwin, TN 37650-2124
- **Phone:** (423) 735-0500 · **Fax:** (423) 735-0499
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Emergency Medicine (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609158120) · Data from the CMS NPPES public registry.