BULLS GAP MEDICAL CENTER
NPI 1770583544
Clinic/Center - Federally Qualified Health Center (FQHC) in Bulls Gap, TN

Active since July 22, 2005CLIA 44D0311233 · Waiver
260 HIGHWAY 11 E, BULLS GAP, TN 37711(423) 235-4191(423) 235-7092 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bulls Gap Medical Center NPPES

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

BULLS GAP MEDICAL CENTER (NPI 1770583544) is a healthcare organization registered as a federally qualified health center (fqhc) in Bulls Gap, Tennessee and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Linda W Buck, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770583544
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRURAL HEALTH SERVICES CONSORTIUM OF UPPER EAST TENNESSEE INC
Location Address260 HIGHWAY 11 EBulls Gap, TN 37711-3416
Mailing AddressPo Box 850Rogersville, TN 37857-0850 · (423) 272-9163 · Fax (423) 921-6920
Fax(423) 235-7092
Organization SubpartNo
Authorized OfficialLinda W BuckCeo · (423) 272-9163
Enumeration DateJuly 22, 2005
Last NPPES UpdateOctober 10, 2008
✔ NPI 1770583544 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
260 HIGHWAY 11 E, Bulls Gap, TN 37711

Other Names 1

Doing Business AsBulls Gap Medical Center

Other Identifiers 6

Medicaid4448148TN
Medicare ID-Type Unspecified441812Fqhc
Other006Champus Provider
Medicare PIN3703865
Other3703863Cigna/medicare
Other4122525TN · Bluecross Blueshield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bulls Gap 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 Bulls Gap Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. 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
Internal Medicine
NPI 1013913391
260 HIGHWAY 11 E
Bulls Gap, TN 37711
(423) 235-4191
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730636556
260 HIGHWAY 11 E
Bulls Gap, TN 37711
(423) 235-4191
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013508589
260 HIGHWAY 11 E
Bulls Gap, TN 37711
(423) 235-4191
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1710758479
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare10 mi
Physical Therapist in Private Practice
NPI 1760256424
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1326270570
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare10 mi
Internal Medicine
NPI 1396008025
4307 HIGHWAY 66 S
Rogersville, TN 37857
(512) 509-9550
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1043965353
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare10 mi
Physical Therapist in Private Practice
NPI 1528238912
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1356222137
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1528430147
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare10 mi
Mental Health Counselor
NPI 1871789842
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1487128708
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1366943383
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare10 mi
Clinical Social Worker
NPI 1881808871
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1689207938
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare10 mi
Pediatric Medicine
NPI 1629076393
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS10 mi
Nurse Practitioner
NPI 1932681236
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare10 mi
Family Practice
NPI 1801892054
4307 HIGHWAY 66 S
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare10 mi
Clinical Social Worker
NPI 1013100072
4307 HIGHWAY 66 S SUITE 2
Rogersville, TN 37857
(423) 921-1600
✔ PECOS✔ Accepts Medicare10 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 Waiver 44D0311233

Bulls Gap Medical Center · Bulls Gap, TN
Active · expires Sep 30, 2027
CLIA Number44D0311233
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorDr. Mark R. Doman
Laboratory Phone(423) 921-6989
Laboratory LocationBulls Gap Medical CenterPO Box 99, 260 Hwy 11E E, Bulls Gap, TN 37711
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1770583544. It was assigned to this organization in the NPPES registry on July 22, 2005. The provider is doing business as Bulls Gap 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 260 Highway 11 E, Bulls Gap, TN 37711. The listed phone number is (423) 235-4191.

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 and 3 within 10 miles. 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 Waiver (number 44D0311233) is associated with this NPI, valid through September 30, 2027. 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.