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MOUNTAIN CITY MEDICAL CENTER
NPI 1720088537
Clinic/Center - Federally Qualified Health Center (FQHC) in Mountain City, TN

Active since July 22, 2005CLIA 44D0311209 · Certificate of Compliance
222 OAK ST, MOUNTAIN CITY, TN 37683(423) 727-6319(423) 727-4164 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mountain City Medical Center NPPES

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

MOUNTAIN CITY MEDICAL CENTER (NPI 1720088537) is a healthcare organization registered as a federally qualified health center (fqhc) in Mountain City, Tennessee and active in the NPI registry since July 2005. The organization holds a CLIA Certificate of Compliance certificate valid through June 10, 2028 and lists Linda W Buck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720088537
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Location Address222 OAK STMountain City, TN 37683-1526
Mailing AddressPo Box 850Rogersville, TN 37857-0850 · (423) 272-9163 · Fax (423) 921-6920
Phone(423) 727-6319
Fax(423) 727-4164
Organization SubpartNo
Authorized OfficialLinda W BuckCeo · (423) 272-9163
Enumeration DateJuly 22, 2005
Last NPPES UpdateOctober 10, 2008
✔ NPI 1720088537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
222 OAK ST, Mountain City, TN 37683
Open in Google Maps ↗

Other Names 1

Doing Business AsMountain City Medical Center

Other Identifiers 7

Other020845900Blacklung
Medicare ID-Type Unspecified441816Fqhc
Other004Champus Provider
Medicare PIN3703865
Other3703867Cigna/medicare
Other4122525TN · Bluecross Blueshield
Medicaid4448155TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain City Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Mountain City Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Nurse Practitioner34
Family Practice6
Clinical Social Worker2
Internal Medicine2
Physical Therapist in Private Practice2
Mental Health Counselor1
Pediatric Medicine1

Nearest to this location (20)

See all 48
Christina Stacy, FNP
Nurse Practitioner
NPI 1144944679
222 OAK ST
Mountain City, TN 37683
(423) 727-6319
✔ PECOS✔ Accepts MedicareSame address
Heather Newman, MD
Family Practice
NPI 1699014068
222 OAK ST
Mountain City, TN 37683
(423) 727-6319
✔ PECOS✔ Accepts MedicareSame address
Jacob Ramsey, FNP
Nurse Practitioner
NPI 1225674856
152 HIGHWAY 143
Roan Mountain, TN 37687
(423) 772-3276
✔ PECOS✔ Accepts Medicare24 mi
Wesley Hanson, MD
Family Practice
NPI 1104821743
152 HIGHWAY 143
Roan Mountain, TN 37687
(423) 772-3276
✔ PECOS✔ Accepts Medicare24 mi
Jamesia Harris, NP-C
Nurse Practitioner
NPI 1467857979
152 HIGHWAY 143
Roan Mountain, TN 37687
(423) 772-3276
✔ PECOS✔ Accepts Medicare24 mi
Amanda Cornett, FNP
Nurse Practitioner
NPI 1801519665
271 MEDICAL PARK BLVD
Bristol, TN 37620
(423) 274-8600
✔ PECOS✔ Accepts Medicare26 mi
Michael Hill, NP-C
Nurse Practitioner
NPI 1104168327
229 HIGHWAY 19 E
Bluff City, TN 37618
(423) 538-5116
✔ PECOS✔ Accepts Medicare26 mi
Tina Smith, FNP
Nurse Practitioner
NPI 1023563368
229 HIGHWAY 19 E
Bluff City, TN 37618
(423) 538-5116
✔ PECOS✔ Accepts Medicare26 mi
Emily Benfield, FNP
Nurse Practitioner
NPI 1710438486
137 NOTALEE ST
Newland, NC 28657
(828) 397-9334
✔ PECOS✔ Accepts Medicare27 mi
Jayson Marcarelli, DO
Family Practice
NPI 1568112878
2300 PAVILION DR
Kingsport, TN 37660
(423) 926-2358
✔ PECOS✔ Accepts Medicare39 mi
Jose Velasco, MD
Family Practice
NPI 1861496390
1000 E CENTER ST
Kingsport, TN 37660
(423) 251-6996
✔ PECOS✔ Accepts Medicare41 mi
Amylyn Crawford, MD
Family Practice
NPI 1730183260
737 E SEVIER AVE
Kingsport, TN 37660
(423) 246-7922
✔ PECOS✔ Accepts Medicare41 mi
Geraldine Livermore, LCSW
Clinical Social Worker
NPI 1013100072
4307 HIGHWAY 66 S SUITE 2
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare67 mi
Nancy Crider, LPC
Mental Health Counselor
NPI 1871789842
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare67 mi
Amy Herron, LCSW
Clinical Social Worker
NPI 1881808871
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare67 mi
Richard Mcgill, D.O.
Pediatric Medicine
NPI 1629076393
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS67 mi
Duskin Henard, DPT
Physical Therapist in Private Practice
NPI 1760256424
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ Accepts Medicare67 mi
Rachel Osborne Metzgar, MD
Internal Medicine
NPI 1396008025
4307 HIGHWAY 66 S
Rogersville, TN 37857
(512) 509-9550
✔ PECOS✔ Accepts Medicare67 mi
Beth Reuschel, PT
Physical Therapist in Private Practice
NPI 1528238912
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ Accepts Medicare67 mi
Mark Doman, M.D.
Internal Medicine
NPI 1013913391
260 HIGHWAY 11 E
Bulls Gap, TN 37711
(423) 235-4191
✔ PECOS✔ Accepts Medicare73 mi
See all 48 clinicians

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 Compliance 44D0311209

Rural Health Services Consortium, Inc Dba Mountain City Medical Center · Mountain City, TN
Active · expires Jun 10, 2028
CLIA Number44D0311209
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorDr. Jose P. Velasco
Laboratory Phone(423) 727-6319
Laboratory LocationRural Health Services Consortium, Inc Dba Mountain City Medical Center222 Oak Street, Mountain City, TN 37683
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Rural Health Services Consortium Of Upper East Tennessee Inc's NPI number?

The NPI number for Rural Health Services Consortium Of Upper East Tennessee Inc is 1720088537. It was assigned to this organization in the NPPES registry on July 22, 2005. The provider is doing business as Mountain City Medical Center.

Where is Rural Health Services Consortium Of Upper East Tennessee Inc located?

Rural Health Services Consortium Of Upper East Tennessee Inc is located at 222 Oak St, Mountain City, TN 37683. The listed phone number is (423) 727-6319.

What is Rural Health Services Consortium Of Upper East Tennessee Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Rural Health Services Consortium Of Upper East Tennessee Inc enrolled in Medicare?

Yes. Rural Health Services Consortium Of Upper East Tennessee Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rural Health Services Consortium Of Upper East Tennessee Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 7 Medicare specialties reassign their Medicare billing to Rural Health Services Consortium Of Upper East Tennessee 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 (34), Family Practice (6) and Clinical Social Worker (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rural Health Services Consortium Of Upper East Tennessee Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D0311209) is associated with this NPI, valid through June 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rural Health Services Consortium Of Upper East Tennessee Inc was last updated on October 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.