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CHRISTENBERRY CLINIC, PC
NPI 1629268925
Specialist in Knoxville, TN

Active since August 01, 2007CLIA 44D2137649 · Waiver
1318 W CLINCH AVE, KNOXVILLE, TN 37916(865) 522-5155(865) 522-5157 Get Directions Write a Review

NPPES record last updated: August 1, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Christenberry Clinic, Pc NPPES

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

CHRISTENBERRY CLINIC, PC (NPI 1629268925) is a healthcare organization registered as a specialist in Knoxville, Tennessee and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Kenneth William Christenberry, President, as its authorized official.

NPPES Registry Identity

NPI1629268925
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHRISTENBERRY CLINIC, PC
Location Address1318 W CLINCH AVEKnoxville, TN 37916-2612
Mailing Address1318 W Clinch AveKnoxville, TN 37916-2612 · (865) 522-5155 · Fax (865) 522-5157
Phone(865) 522-5155
Fax(865) 522-5157
Organization SubpartNo
Authorized OfficialKenneth William ChristenberryPresident · (865) 522-5155
Enumeration DateAugust 1, 2007
✔ NPI 1629268925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · MD5549
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1318 W CLINCH AVE, Knoxville, TN 37916
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINB-59383
Medicaid3375360TN

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christenberry Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Christenberry Clinic, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Christenberry, MD
Otolaryngology
NPI 1780783860
1318 W CLINCH AVE
Knoxville, TN 37916
(865) 522-5155
✔ PECOS✔ Accepts MedicareSame address

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 44D2137649

Christenberry Clinic, PC · Knoxville, TN
Active · expires Oct 1, 2027
CLIA Number44D2137649
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorDr. Kenneth W. Christenberry
Laboratory Phone(865) 522-5155
Laboratory LocationChristenberry Clinic, PC1318 W Clinch Ave, Knoxville, TN 37916
CLIA data matches this NPI record on: Address Name Phone
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 Christenberry Clinic, PC's NPI number?

The NPI number for Christenberry Clinic, PC is 1629268925. It was assigned to this organization in the NPPES registry on August 1, 2007.

Where is Christenberry Clinic, PC located?

Christenberry Clinic, PC is located at 1318 W Clinch Ave, Knoxville, TN 37916. The listed phone number is (865) 522-5155.

What is Christenberry Clinic, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Christenberry Clinic, PC enrolled in Medicare?

Yes. Christenberry Clinic, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Christenberry Clinic, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Christenberry Clinic, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Christenberry Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2137649) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Christenberry Clinic, PC was last updated on August 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.