Dayspring Health Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Clairfield, TN

NPI 1013049469 · NPPES record last updated Nov 25, 2025

Key facts

NPI
1013049469
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
License
441854 (TN)
Legal business name
DAYSPRING HEALTH INC
Practice address
5663 Hwy 90
Clairfield, TN 37715
Phone
(423) 784-6135
Fax
(423) 784-8615
NPI assigned
Mar 12, 2007
Organization subpart
No

Authorized official

Name
Dr. Geogy Thomas
Title
Ceo
Phone
(423) 784-8492

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0311235Dayspring Health Inc
5663 Highway 90, Clairfield, TN 37715
Provider-performed microscopyJun 2, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TN

Federally qualified health center certification: CCN 441854

Legal name
DAYSPRING HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Incorporated
Aug 31, 1976 in KY
Enrollment address
5663 Highway 90
Clairfield, TN 37715-3632

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jane Whitaker
Individual
Corporate Director Jan 1, 2010
Geogy Thomas
Individual
Corporate Officer
Ceo
Feb 1, 2020
Corporate Director Jan 1, 2020
Lawrence Rector
Individual
Corporate Officer
Cfo
Jan 1, 2020
John Harris
Individual
W-2 Managing Employee
Credentialing
Aug 11, 2015
Darlene Muse
Individual
Corporate Director Jan 1, 2010

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041215000423 TN Part B Supplier - Clinic/Group Practice 7214990746 Receives reassigned benefits from 23 practitioners
1 other NPI on this enrollment
Practice locations: Clairfield, TN; Jellico, TN
O20101118001083 TN Part a Provider - Federally Qualified Health Center (FQHC) 7214990746 Practice locations: Clairfield, TN

National Provider Directory

Locations

1047 S Highway 25 W
Williamsburg, KY 40769
Phone (606) 549-0449

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207Q00000X TN
Obstetrics & Gynecology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207V00000X
Federally Qualified Health Center (FQHC) 261QF0400X 441854 TN Yes
Physician Assistant
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363A00000X TN
Nurse Practitioner
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363L00000X TN

Addresses

Primary practice location

5663 Hwy 90
Clairfield, TN 37715

Mailing address

107 S Main St
P.O. Box 540
Jellico, TN 37762-2154
Phone (423) 784-8492

Other identifiers

IdentifierTypeStateIssuer
65903148MedicaidKY
0395390OtherTNUMWA
4447807MedicaidTN
702210OtherTNBLACK LUNG

Other names

  • Clear Fork Clinic Doing business as
  • Dayspring Family Health Center Former legal business name

Other providers in Clairfield, TN

All providers in Clairfield, TN · Federally Qualified Health Center (FQHC) in Tennessee

Sources for this page

Verify at the official NPI Registry.