1. Home
  2. Directory
  3. Tennessee
  4. Pikeville
  5. Nurse Practitioner
  6. NPI Profile

PIKEVILLE CLINIC, LLC
NPI 1639472137
Nurse Practitioner - Family in Pikeville, TN

Active since December 06, 2010CLIA 44D0309708 · Waiver
3062 MAIN ST, PIKEVILLE, TN 37367(423) 447-2955(423) 447-2405 Get Directions Write a Review

NPPES record last updated: November 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1639472137
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePIKEVILLE CLINIC, LLC
Location Address3062 MAIN STPikeville, TN 37367-5746
Mailing AddressPo Box 349Pikeville, TN 37367-0349 · (423) 447-2955 · Fax (423) 447-2405
Phone(423) 447-2955
Fax(423) 447-2405
Organization SubpartNo
Authorized OfficialRuth E. BoyntonMember · (423) 447-2955
Enumeration DateDecember 6, 2010
Last NPPES UpdateNovember 21, 2013
✔ NPI 1639472137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
3062 MAIN ST, Pikeville, TN 37367
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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, TN
Active · expires Dec 20, 2026
CLIA Number44D0309708
Laboratory TypePhysician Office
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorAmie Sims Rainey
Laboratory Phone(423) 447-2955
Laboratory LocationPikeville Clinic3062 Main St, Pikeville, TN 37367
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMIE SIMS RAINEY NP-C
Nurse Practitioner (Family)
3062 MAIN ST
PIKEVILLE, TN 37367
Bledsoe County (423) 447-2955
DESIREE CADELL BROCK-HUDSON NP
Nurse Practitioner (Family)
3062 MAIN ST
PIKEVILLE, TN 37367
Bledsoe County (423) 447-2955
MR. ARTURO L QUITO MD
General Practice
3062 MAIN ST
PIKEVILLE, TN 37367
Bledsoe County (423) 447-6843
MS. RUTH ELLEN BOYNTON NURSE PRACTITIONER
Nurse Practitioner
3062 MAIN ST
PIKEVILLE, TN 37367
Bledsoe County (423) 447-2955

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 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.

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 from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers 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.