NPIMap

Organization Active NPI

Dayspring Health, Inc.

Doing business as Dayspring Jellico

  • Federally Qualified Health Center (FQHC)
  • Jellico, TN
National Provider Identifier
1023022084
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
441853 Issued in TN
Legal business name
DAYSPRING HEALTH, INC.
Doing business as
Dayspring Jellico
Indian Mountain Clinic
Practice address
550 Sunset TRL
Jellico, TN 37762
Phone
(423) 784-5771
Fax
(423) 784-6185
NPI assigned
Jul 27, 2006
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Geogy Thomas, MDNPI 1891798492
Title
Ceo
Phone
(423) 784-8492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Obstetrics & Gynecology Physician 207V00000X 43450 TN
Federally Qualified Health Center (FQHC) 261QF0400X 441853 TN Primary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

550 Sunset TRL
Jellico, TN 37762

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
0980730OtherTNUMWA
65903650MedicaidKY
204123OtherTNBLACK LUNG
4447931MedicaidTN

Other names 3

  • Dayspring Jellico Doing business as
  • Indian Mountain Clinic Doing business as
  • Dayspring Family Health Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

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
This NPI is an additional NPI on the enrollment
Practice locations: Clairfield, TN; Jellico, TN
O20110202000563 TN Part A Provider - Federally Qualified Health Center (FQHC) 7214990746 Practice locations: Jellico, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023022084. Details of each certification follow.

Federally qualified health center certification: CCN 441853

Legal name
DAYSPRING HEALTH INC
Doing business as
DAYSPRING JELLICO
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
CorporationNon-profit
Incorporated
Aug 31, 1976 in TN
Enrollment address
550 Sunset TRL
Jellico, TN 37762-2343

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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 OfficerCeo Feb 1, 2020
Lawrence Rector Individual Corporate OfficerCfo Jan 1, 2020
John Harris Individual W-2 Managing EmployeeCredentialing Aug 11, 2015
Darlene Muse Individual Corporate Director Jan 1, 2010
Ande Myers Individual Corporate DirectorBoard Member Feb 1, 2019
Chris Leskiw Individual Corporate Director Feb 1, 2019

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1023022084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "address_2": "P.O. BOX 540",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377622154",
            "telephone_number": "423-784-8492",
            "fax_number": "423-784-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SUNSET TRL",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "37762",
            "telephone_number": "423-784-5771",
            "fax_number": "423-784-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYSPRING HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GEOGY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-784-8492",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "43450",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TN",
            "license": "441853",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0980730",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65903650",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "204123",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4447931",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayspring Jellico",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Indian Mountain Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dayspring Family Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jellico, TN

Sources for this page

Verify at the official NPI Registry.