JACKSBORO URGENT CARE
NPI 1629536362
Clinic/Center - Urgent Care in Jacksboro, TN
About Jacksboro Urgent Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKSBORO URGENT CARE (NPI 1629536362) is a healthcare organization registered as an urgent care in Jacksboro, Tennessee and active in the NPI registry since March 2019. The organization lists Patricia Eberharter, Chief Officer/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Jacksboro Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Jacksboro Urgent Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jacksboro Urgent Care's NPI number?
The NPI number for Jacksboro Urgent Care is 1629536362. It was assigned to this organization in the NPPES registry on March 12, 2019.
Where is Jacksboro Urgent Care located?
Jacksboro Urgent Care is located at 2707 Jacksboro Pike Suite 2, Jacksboro, TN 37757. The listed phone number is (423) 907-8186.
What is Jacksboro Urgent Care's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Jacksboro Urgent Care enrolled in Medicare?
Yes. Jacksboro Urgent Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jacksboro Urgent Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Jacksboro Urgent 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, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jacksboro Urgent Care accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Jacksboro Urgent 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 Jacksboro Urgent Care was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jacksboro Urgent Care · NPI 1629536362
Urgent Care organization in Jacksboro, Tennessee. Organization record, active in the CMS NPPES registry since March 12, 2019.
## Identity
- **NPI:** 1629536362 (Entity type: Organization)
- **Enumerated:** March 12, 2019
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Patricia Eberharter, CHIEF OFFICER/OWNER
## Practice location
- **Address:** 2707 JACKSBORO PIKE, SUITE 2, Jacksboro, TN 37757
- **Phone:** (423) 907-8186 · **Fax:** (423) 907-8187
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1629536362) · Data from the CMS NPPES public registry.