Organization Active NPI

Claiborne Health & Wellness Inc.

  • Family Medicine Physician
  • Tazewell, TN
National Provider Identifier
1497350623
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLAIBORNE HEALTH & WELLNESS INC.
Practice address
1579 Tazewell Rd
Tazewell, TN 37879-3607
Phone
(423) 869-3700
NPI assigned
Dec 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Pamela Bays, RNNPI 1114671393
Title
Ceo, Owner
Phone
(423) 869-3700

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1579 Tazewell Rd
Tazewell, TN 37879-3607

Mailing address

PO Box 720
Harrogate, TN 37752-0720

Other practice location 1

169 Westmoreland St
Harrogate, TN 37752-8253
Phone (423) 869-3700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210115000876 TN Part B Supplier - Clinic/Group Practice 3577976315 Receives reassigned benefits from 3 practitioners
Practice locations: Harrogate, TN; Tazewell, TN

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
44D1011263Claiborne Health & Wellness, Inc169 Westmoreland Street, Harrogate, TN 37752Certificate of waiverDec 15, 2026
44D2205765Claiborne Health & Wellness, Inc1579 Tazewell Rd, Tazewell, TN 37879Certificate of waiverDec 15, 2026

National Provider Directory

National Provider Directory

Locations

169 Westmoreland St
Ste 1
Harrogate, TN 37752

1579 Tazewell Rd
Tazewell, TN 37879
Phone (423) 259-3955

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1497350623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377520720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 TAZEWELL RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793607",
            "telephone_number": "423-869-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Westmoreland St",
            "address_purpose": "LOCATION",
            "city": "Harrogate",
            "state": "TN",
            "postal_code": "377528253",
            "country_code": "US",
            "telephone_number": "423-869-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLAIBORNE HEALTH & WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "BAYS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "423-869-3700",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.