45 URGENT CARE, P.C.
NPI 1912326539
Family Medicine in Jackson, TN
About 45 Urgent Care, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
45 URGENT CARE, P.C. (NPI 1912326539) is a healthcare organization registered as a family medicine in Jackson, Tennessee and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Shannon L Bone, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
45 Urgent Care, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to 45 Urgent Care, P.C., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (10)
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 44D2077886
45 Urgent Care, PC · Jackson, 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 45 Urgent Care, P.C.'s NPI number?
The NPI number for 45 Urgent Care, P.C. is 1912326539. It was assigned to this organization in the NPPES registry on April 10, 2014.
Where is 45 Urgent Care, P.C. located?
45 Urgent Care, P.C. is located at 149 N Star Dr, Jackson, TN 38305. The listed phone number is (731) 554-0571.
What is 45 Urgent Care, P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is 45 Urgent Care, P.C. enrolled in Medicare?
Yes. 45 Urgent Care, P.C. is registered in the Medicare PECOS enrollment system.
When is 45 Urgent Care, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Tennessee, Physician - General Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through 45 Urgent Care, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to 45 Urgent Care, P.C.. 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 (6), Physical Therapist in Private Practice (2) and Family Practice (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does 45 Urgent Care, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2077886) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does 45 Urgent Care, P.C. accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list 45 Urgent Care, P.C. 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 45 Urgent Care, P.C. was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# 45 Urgent Care, P.c. · NPI 1912326539
Family Medicine organization in Jackson, Tennessee. Organization record, active in the CMS NPPES registry since April 10, 2014.
## Identity
- **NPI:** 1912326539 (Entity type: Organization)
- **Enumerated:** April 10, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shannon Bone, PRESIDENT
## Practice location
- **Address:** 149 N STAR DR, Jackson, TN 38305-5634
- **Phone:** (731) 554-0571 · **Fax:** (731) 664-7161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, Tennessee, Physician - General Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Physical Therapist in Private Practice (2), Family Practice (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2015
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1912326539) · Data from the CMS NPPES public registry.