NPIMap

Organization Active NPI

JCL Express Walk-in Clinic, LLC

  • Urgent Care Clinic/Center
  • Lewisburg, TN
National Provider Identifier
1023650629
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
JCL EXPRESS WALK-IN CLINIC, LLC
Practice address
335 1St Ave N
Lewisburg, TN 37091-2826
Phone
(931) 270-0050
Fax
(931) 270-0052
NPI assigned
Oct 15, 2019
Last updated
Oct 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Jennifer C Laws, FNPNPI 1184098147
Title
Owner/Provider
Phone
(931) 270-0050

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

335 1St Ave N
Lewisburg, TN 37091-2826

Mailing address

335 1St Ave N
Lewisburg, TN 37091-2826
Phone (931) 270-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191210003593 TN Part B Supplier - Clinic/Group Practice 2961835624 Receives reassigned benefits from 1 practitioner
Practice locations: Lewisburg, TN

National Provider Directory

National Provider Directory

Locations

335 1st Ave N
Lewisburg, TN 37091
Phone (931) 270-0050

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1023650629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 1ST AVE N",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912826",
            "telephone_number": "931-270-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 1ST AVE N",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912826",
            "telephone_number": "931-270-0050",
            "fax_number": "931-270-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCL EXPRESS WALK-IN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "LAWS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "931-270-0050",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.