FAMILY AND PEDIATRIC CARE CLINIC LLC
NPI 1861844763
Nurse Practitioner - Family in Oneida, TN
About Family And Pediatric Care Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY AND PEDIATRIC CARE CLINIC LLC (NPI 1861844763) is a healthcare organization registered as a family in Oneida, Tennessee and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Donna West, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted 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)
Family And Pediatric Care Clinic Llc 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 Family And Pediatric Care Clinic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. 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 44D2099482
Family And Pediatric Care Clinic, LLC · Oneida, 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 Family And Pediatric Care Clinic LLC's NPI number?
The NPI number for Family And Pediatric Care Clinic LLC is 1861844763. It was assigned to this organization in the NPPES registry on July 5, 2016.
Where is Family And Pediatric Care Clinic LLC located?
Family And Pediatric Care Clinic LLC is located at 19067 Alberta St, Oneida, TN 37841. The listed phone number is (423) 569-2754.
What is Family And Pediatric Care Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Family And Pediatric Care Clinic LLC enrolled in Medicare?
Yes. Family And Pediatric Care Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family And Pediatric Care Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Family And Pediatric Care Clinic LLC, in Internal Medicine 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. 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 Family And Pediatric Care Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2099482) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Family And Pediatric Care Clinic LLC accept?
Health plans from Cigna Healthcare list Family And Pediatric Care Clinic LLC 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 Family And Pediatric Care Clinic LLC was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Family And Pediatric Care Clinic Llc · NPI 1861844763
Family organization in Oneida, Tennessee. Organization record, active in the CMS NPPES registry since July 5, 2016.
## Identity
- **NPI:** 1861844763 (Entity type: Organization)
- **Enumerated:** July 5, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Donna West, OFFICE MANAGER
## Practice location
- **Address:** 19067 ALBERTA ST, Oneida, TN 37841-6002
- **Phone:** (423) 569-2754 · **Fax:** (423) 569-2756
## 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), Internal Medicine (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2019
- **Other identifiers:** Other 103G741696 (TN); Other 6080615 (TN); Medicaid Q025132 (TN)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861844763) · Data from the CMS NPPES public registry.