UNIVERSITY HEALTH SYSTEM, INC
NPI 1669164307
Family Medicine in Jamestown, TN
About University Health System, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNIVERSITY HEALTH SYSTEM, INC (NPI 1669164307), doing business as Ut Primary Care Jamestown, is a healthcare organization registered as a family medicine in Jamestown, Tennessee and active in the NPI registry since May 2023. The organization lists Carol A Burgess, Provider Enrollment Team Lead, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
University Health System, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
829Medicare enrollment records show 829 clinicians reassign Medicare billing to University Health System, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 48
Nearest to this location (20)
See all 829Oak Ridge, TN 37830
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 University Health System, Inc's NPI number?
The NPI number for University Health System, Inc is 1669164307. It was assigned to this organization in the NPPES registry on May 22, 2023. The provider is doing business as UT Primary Care Jamestown.
Where is University Health System, Inc located?
University Health System, Inc is located at 208 Central Ave W, Jamestown, TN 38556. The listed phone number is (865) 670-6754.
What is University Health System, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is University Health System, Inc enrolled in Medicare?
Yes. University Health System, Inc is registered in the Medicare PECOS enrollment system.
When is University Health System, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through University Health System, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 829 clinicians in 48 Medicare specialties reassign their Medicare billing to University Health System, Inc. 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 (289), Internal Medicine (79) and Family Practice (61). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does University Health System, Inc accept?
Health plans from Cigna Healthcare list University Health System, Inc 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 University Health System, Inc was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# University Health System, Inc · NPI 1669164307
Family Medicine organization in Jamestown, Tennessee. Organization record, active in the CMS NPPES registry since May 22, 2023.
## Identity
- **NPI:** 1669164307 (Entity type: Organization)
- **Enumerated:** May 22, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** UT Primary Care Jamestown (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Carol Burgess, PROVIDER ENROLLMENT TEAM LEAD
## Practice location
- **Address:** 208 CENTRAL AVE W, Jamestown, TN 38556-3557
- **Phone:** (865) 670-6754
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 829 clinicians in 48 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (289), Internal Medicine (79), Family Practice (61); 1 practice at this address; [full list](https://npiprofile.com/npi/1669164307/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1669164307) · Data from the CMS NPPES public registry.