Hometown Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HOMETOWN MEDICAL CLINIC

Practice address

1034 Main St Ste B
Bean Station, TN 37708-4257

Phone

(865) 203-5077

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley McKinney, ARNPNPI 1184123382

Title

Member/Manager

Phone

(865) 203-5077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

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

• Ashley McKinney, ANP

  • Family Nurse Practitioner
  • Bean Station, TN
  • NPI 1184123382
  Medicare reassignment Care Compare group NPD Authorized official
• Bobbi R Coley, PA

  • Physician Assistant
  • Sneedville, TN
  • NPI 1689188021
  Medicare reassignment Care Compare group
• Karen Angela Hobbs, APRN

  • Family Medicine Physician
  • Rogersville, TN
  • NPI 1154097590
  Medicare reassignment Care Compare group
• Stacie Nicole Davy, FNP-C

  • Family Nurse Practitioner
  • Bean Station, TN
  • NPI 1578269908
  Medicare reassignment NPD

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1275280273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "BEAN STATION",
            "state": "TN",
            "postal_code": "377080237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 MAIN ST STE B",
            "city": "BEAN STATION",
            "state": "TN",
            "postal_code": "377084257",
            "telephone_number": "865-203-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "865-203-5077",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Dubberly, BEHAVIOR ASSISTANT
• Amelia Brooke Fitchpatrick, MSN, FNP-C
• Gotcha Transportation LLC
• Rosalyn Guardino, RPH
• Amy Hall
• Kayla Marie Horne, R.N.
• Angela Danielle Hunt
• Miranda Jackson, RBT
• Dana Michele Johnson, DMD
• Kayla Shirlene Kirkland, PA-C

• Primary Care Clinic/Center in Bean Station, TN
• Providers in Bean Station, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.