Active NPI
Claiborne Health & Wellness Inc.
- Family Medicine Physician
- Tazewell, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Bays, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Physician Assistant | 363A00000X | |||
| Family Nurse Practitioner | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1011263 | Claiborne Health & Wellness, Inc | Certificate of waiver | Dec 15, 2026 |
| 44D2205765 | Claiborne Health & Wellness, Inc | Certificate of waiver | Dec 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
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
- Claiborne County Board of Education
- Claiborne County Hospital Ambulance Service
- Claiborne County Hospital Claiborne County Ambulance
- Claiborne County Hospital Pharmacy
- Claiborne EMS LLC
- Claiborne Medical Center
- Claiborne Medical Center
- Claiborne Medical Center
- Nan Stanifer Cole, R.D.
- Katie Bundren Combs, LPC
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.