GRUNDY COUNTY PRIMARY CARE CENTER
NPI 1902010770
Clinic/Center - Federally Qualified Health Center (FQHC) in Coalmont, TN
About Grundy County Primary Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRUNDY COUNTY PRIMARY CARE CENTER (NPI 1902010770) is a healthcare organization registered as a federally qualified health center (fqhc) in Coalmont, Tennessee and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 6, 2028 and lists Bill R Moats, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Grundy County Primary Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Grundy County Primary Care Center, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 28Source: 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 Compliance 44D0904148
Grundy County Primary Care Center · Coalmont, 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 Ocoee Regional Health Corporation's NPI number?
The NPI number for Ocoee Regional Health Corporation is 1902010770. It was assigned to this organization in the NPPES registry on May 10, 2007. The provider is doing business as Grundy County Primary Care Center.
Where is Ocoee Regional Health Corporation located?
Ocoee Regional Health Corporation is located at 10120 Sr 56, Coalmont, TN 37313. The listed phone number is (931) 779-4002.
What is Ocoee Regional Health Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Ocoee Regional Health Corporation enrolled in Medicare?
Yes. Ocoee Regional Health Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ocoee Regional Health Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 4 Medicare specialties reassign their Medicare billing to Ocoee Regional Health Corporation. 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 (19), Family Practice (7) and Emergency Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ocoee Regional Health Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 44D0904148) is associated with this NPI, valid through January 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ocoee Regional Health Corporation accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ocoee Regional Health Corporation 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 Ocoee Regional Health Corporation was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Grundy County Primary Care Center · NPI 1902010770
Federally Qualified Health Center (FQHC) organization in Coalmont, Tennessee. Organization record, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1902010770 (Entity type: Organization)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Ocoee Regional Health Corporation
- **Organization subpart:** No
- **Authorized official:** Bill Moats, CEO
## Practice location
- **Address:** 10120 SR 56, Coalmont, TN 37313-2505
- **Phone:** (931) 779-4002 · **Fax:** (931) 779-4003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (19), Family Practice (7), Emergency Medicine (1); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1902010770/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902010770) · Data from the CMS NPPES public registry.