PIKEVILLE CLINIC, LLC
NPI 1639472137
Nurse Practitioner - Family in Pikeville, TN
About Pikeville Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PIKEVILLE CLINIC, LLC (NPI 1639472137) is a healthcare organization registered as a family in Pikeville, Tennessee and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Ruth E. Boynton, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 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)
Pikeville Clinic, Llc 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 Pikeville Clinic, LLC, which bills Medicare for the services they deliver. Of these, 1 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 44D0309708
Pikeville Clinic · Pikeville, 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 Pikeville Clinic, LLC's NPI number?
The NPI number for Pikeville Clinic, LLC is 1639472137. It was assigned to this organization in the NPPES registry on December 6, 2010.
Where is Pikeville Clinic, LLC located?
Pikeville Clinic, LLC is located at 3062 Main St, Pikeville, TN 37367. The listed phone number is (423) 447-2955.
What is Pikeville Clinic, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Pikeville Clinic, LLC enrolled in Medicare?
Yes. Pikeville Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pikeville Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pikeville Clinic, LLC, 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pikeville Clinic, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D0309708) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pikeville Clinic, 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 Pikeville Clinic, 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 Pikeville Clinic, LLC was last updated on November 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Pikeville Clinic, Llc · NPI 1639472137
Family organization in Pikeville, Tennessee. Organization record, active in the CMS NPPES registry since December 6, 2010.
## Identity
- **NPI:** 1639472137 (Entity type: Organization)
- **Enumerated:** December 6, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Ruth Boynton, MEMBER
## Practice location
- **Address:** 3062 MAIN ST, Pikeville, TN 37367-5746
- **Phone:** (423) 447-2955 · **Fax:** (423) 447-2405
## 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); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639472137) · Data from the CMS NPPES public registry.