NPIMap

Organization Active NPI

Rural Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • White Pine, TN
National Provider Identifier
1477424802
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
RURAL MEDICAL SERVICES, INC.
Practice address
1210 State St
White Pine, TN 37890-3467
Phone
(865) 263-1172
NPI assigned
Sep 17, 2025
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Amy Bradshaw
Title
Cfo
Phone
(423) 613-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1210 State St
White Pine, TN 37890-3467

Mailing address

PO Box 577
Newport, TN 37822-0577
Phone (423) 613-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914001081 TN Part B Supplier - Clinic/Group Practice 1456384080 Receives reassigned benefits from 24 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: White Pine, TN; Parrottsville, TN; Newport, TN; Jefferson City, TN; Hartford, TN; Dandridge, TN

Other NPIs on the same Medicare enrollment 7

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2332933Rural Medical Services, Inc White Pine Center1210 State Street, White Pine, TN 37890Provider-performed microscopyOct 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Rural Medical Services Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3222 Chestnut Hill School Rd
Dandridge, TN 37725
Phone (865) 509-6611

103 Wilton Springs Rd
Newport, TN 37821
Phone (423) 487-2222

1210 State St
White Pine, TN 37890
Phone (865) 263-1172

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1477424802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378220577",
            "telephone_number": "423-613-3300",
            "fax_number": "423-623-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 STATE ST",
            "city": "WHITE PINE",
            "state": "TN",
            "postal_code": "378903467",
            "telephone_number": "865-263-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-613-3300"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Pine, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.