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FPSC, PLLC
NPI 1841744810
Family Medicine in Hixson, TN

Active since August 08, 2016CLIA Certified · 2 labs
1021 EXECUTIVE DR, SUITE 102, HIXSON, TN 37343(423) 648-9808 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2024, Aug 8, 2016 (2 updates tracked since 2016).

About Fpsc, Pllc NPPES

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

FPSC, PLLC (NPI 1841744810) is a healthcare organization registered as a family medicine in Hixson, Tennessee and active in the NPI registry since August 2016. The organization holds 2 active CLIA laboratory certificates and lists Luis Alberto Gomez, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1841744810
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFPSC, PLLC
Location Address1021 EXECUTIVE DR, SUITE 102Hixson, TN 37343-7918
Mailing Address1021 Executive Drive, Suite 102, OptionalHixson, TN 37343 · (423) 531-3398 · Fax (423) 648-4570
Phone(423) 648-9808
Organization SubpartNo
Authorized OfficialLuis Alberto GomezMd/owner · (423) 800-2426
Enumeration DateAugust 8, 2016
Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1841744810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 51386
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1021 EXECUTIVE DR, Hixson, TN 37343
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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 Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fpsc, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Fpsc, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Jason Horinouchi, MD
Family Practice
NPI 1528379435
975 E 3RD ST
Chattanooga, TN 37403
(423) 266-1490
✔ PECOS✔ Accepts Medicare6.6 mi
Cassie Williams, FNP
Nurse Practitioner
NPI 1962014142
9219 LEE HWY STE 103
Ooltewah, TN 37363
(423) 531-3398
✔ PECOS10 mi
Jonathan Sanchez, FNP
Nurse Practitioner
NPI 1891282380
6059 ARBURY WAY STE 101
Ooltewah, TN 37363
(423) 238-8880
✔ PECOS11 mi
Robert Lang, FNP
Nurse Practitioner
NPI 1023788635
2020 WESTLAND DR SW
Cleveland, TN 37311
(423) 478-1970
✔ PECOS19 mi
Luis Gomez Vaca, M.D.
Family Practice
NPI 1902197064
1107 MEMORIAL DR STE 201
Dalton, GA 30720
(706) 277-7311
✔ PECOS✔ Accepts Medicare28 mi

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 2

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 for Provider-Performed Microscopy Procedures (PPMP) 44D2122197

Fpsc, PLLC · Hixson, TN
Active · expires Nov 21, 2026
CLIA Number44D2122197
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2024
Certificate Expiration DateNovember 21, 2026
Laboratory DirectorDr. Luis A. Gomez Vaca
Laboratory Phone(423) 531-3398
Laboratory LocationFpsc, PLLC1021 Executive Dr Ste 102, Hixson, TN 37343
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 44D2283201

Fpsc · Ooltewah, TN
Active · expires Jun 1, 2027
CLIA Number44D2283201
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2025
Certificate Expiration DateJune 1, 2027
Laboratory DirectorDr. Jason Horinouchi
Laboratory Phone(423) 531-3398
Laboratory LocationFpsc4957 Swinyar Drive, Suite 109, Ooltewah, TN 37363
CLIA data matches this NPI record on: 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 Fpsc, PLLC's NPI number?

The NPI number for Fpsc, PLLC is 1841744810. It was assigned to this organization in the NPPES registry on August 8, 2016.

Where is Fpsc, PLLC located?

Fpsc, PLLC is located at 1021 Executive Dr Suite 102, Hixson, TN 37343. The listed phone number is (423) 648-9808.

What is Fpsc, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fpsc, PLLC enrolled in Medicare?

Yes. Fpsc, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fpsc, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Fpsc, PLLC. 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 (3) and Family Practice (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fpsc, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Fpsc, PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Fpsc, PLLC 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 Fpsc, PLLC was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.