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CLINICA FAMILIAR LATINOAMERICA
NPI 1811458565
Physician Assistant - Medical in Lenoir City, TN

Active since March 26, 2019CLIA 44D2163949 · Waiver
1559 HIGHLAND PARK DRIVE, LENOIR CITY, TN 37772(865) 748-5057(865) 635-8390 Get Directions Write a Review

NPPES record last updated: December 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 20, 2019, Oct 28, 2019, Oct 17, 2019 and 1 more (4 updates tracked since 2019).

About Clinica Familiar Latinoamerica NPPES

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

CLINICA FAMILIAR LATINOAMERICA (NPI 1811458565) is a healthcare organization registered as a medical in Lenoir City, Tennessee and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through March 24, 2027, maintains a secondary practice location in Lenoir City, and lists Rudy Gary Hamm, Provider, as its authorized official.

NPPES Registry Identity

NPI1811458565
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NamePHYSICIAN ASSOCIATE RESOURCES, PLC
Location Address1559 HIGHLAND PARK DRIVELenoir City, TN 37772
Mailing Address1559 Highland Park DrLenoir City, TN 37772-6237 · (865) 635-8389 · Fax (865) 635-8390
Phone(865) 748-5057
Fax(865) 635-8390
Organization SubpartNo
Authorized OfficialRudy Gary HammProvider · (865) 635-8389
Enumeration DateMarch 26, 2019
Last NPPES UpdateDecember 20, 20194 updates tracked since enumeration
✔ NPI 1811458565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1559 HIGHLAND PARK DRIVE, Lenoir City, TN 37772
Open in Google Maps ↗

Other Names 1

Doing Business AsClinica Familiar Latinoamerica

Secondary Practice Location 1

Location 11559 Highland Park DrLenoir City, TN 37772-6237 · Phone (865) 635-8389 · Fax (865) 635-8390

Other Identifiers 2

Medicaid3669684TN
OtherPA0000000203TN · State Of Tn

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 44D2163949

Clinica Familiar · Lenoir City, TN
Active · expires Mar 24, 2027
CLIA Number44D2163949
Laboratory TypePractitioner Other
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorRudy G. Hamm
Laboratory Phone(865) 635-8389
Laboratory LocationClinica Familiar1559 Highland Park Drive, Lenoir City, TN 37771
CLIA data matches this NPI record on: Address Name Phone
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 Physician Associate Resources, Plc's NPI number?

The NPI number for Physician Associate Resources, Plc is 1811458565. It was assigned to this organization in the NPPES registry on March 26, 2019. The provider is doing business as Clinica Familiar Latinoamerica.

Where is Physician Associate Resources, Plc located?

Physician Associate Resources, Plc is located at 1559 Highland Park Drive, Lenoir City, TN 37772. The listed phone number is (865) 748-5057.

What is Physician Associate Resources, Plc's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Physician Associate Resources, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2163949) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Physician Associate Resources, Plc 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 1 other insurer list Physician Associate Resources, Plc 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 Physician Associate Resources, Plc was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.