WESLEY PRIMARY CARE
NPI 1821718131
Clinic/Center - Primary Care in Elizabethton, TN
About Wesley Primary Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESLEY PRIMARY CARE (NPI 1821718131) is a healthcare organization registered as a primary care in Elizabethton, Tennessee and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Charles O Famoyin, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wesley Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Wesley Primary Care, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 44D2280737
Wesley Primary Care · Elizabethton, TNFrequently 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 Wesley Primary Care's NPI number?
The NPI number for Wesley Primary Care is 1821718131. It was assigned to this organization in the NPPES registry on August 29, 2022.
Where is Wesley Primary Care located?
Wesley Primary Care is located at 138 Industrial Dr, Elizabethton, TN 37643. The listed phone number is (423) 542-7007.
What is Wesley Primary Care's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Wesley Primary Care enrolled in Medicare?
Yes. Wesley Primary Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wesley Primary Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Wesley Primary Care, in General Practice and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wesley Primary Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2280737) is associated with this NPI, valid through April 24, 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 Wesley Primary Care was last updated on August 25, 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.
# Wesley Primary Care · NPI 1821718131
Primary Care organization in Elizabethton, Tennessee. Organization record, active in the CMS NPPES registry since August 29, 2022.
## Identity
- **NPI:** 1821718131 (Entity type: Organization)
- **Enumerated:** August 29, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Charles Famoyin, PRESIDENT/CEO
## Practice location
- **Address:** 138 INDUSTRIAL DR, Elizabethton, TN 37643-4644
- **Phone:** (423) 542-7007 · **Fax:** (423) 543-2273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), General Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821718131) · Data from the CMS NPPES public registry.