Organization Active NPI

Acute Care Clinics of America, LLC

  • General Practice Physician
  • Jamestown, TN
National Provider Identifier
1780235564
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ACUTE CARE CLINICS OF AMERICA, LLC
Practice address
100 S Duncan St
Jamestown, TN 38556-3009
Phone
(931) 879-5864
Fax
(931) 879-3903
NPI assigned
Sep 24, 2019
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Tamara Eroh
Title
Credentialing
Phone
(931) 879-5864

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
General Practice Physician 208D00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

100 S Duncan St
Jamestown, TN 38556-3009

Mailing address

PO Box 2861
Crossville, TN 38557-2861

Other practice location 1

6845 S York Hwy
Clarkrange, TN 38553-5154
Phone (931) 863-5095

Other practice location 2

188 Hospital Ln
Jellico, TN 37762-4400
Phone (931) 879-5864

Other practice location 3

102 Old Jefferson St
Celina, TN 38551-4040
Phone (931) 879-5864

Other practice location 4

400 W Crawford Ave
Monterey, TN 38574-1166
Phone (931) 839-2224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200304001675 TN Part B Supplier - Clinic/Group Practice 6305273392 Receives reassigned benefits from 16 practitioners
Practice locations: Clarkrange, TN; Jamestown, TN; Jellico, TN; Kingston, TN; Monterey, TN; Oak Ridge, TN; Oneida, TN; Celina, 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
44D2160249Acute Care Clinics of America LLC100 S Duncan Street, Jamestown, TN 38556Certificate of waiverJan 7, 2027
44D2160251Acute Care Clinics of America LLC6845 South York Hwy, Clarkrange, TN 38553Certificate of waiverJan 7, 2027
44D2203234Acute Care Clinics of America, LLC102 Old Jefferson Street, Celina, TN 38551Certificate of waiverDec 2, 2026
44D2274637Acute Care Clinics of America LLC400 W Crawford Ave, Monterey, TN 38574Certificate of waiverJan 8, 2027

National Provider Directory

National Provider Directory

Locations

620 S Jefferson Ave
Ste 201
Cookeville, TN 38501

213 S Main St
Jellico, TN 37762
Phone (423) 278-4666

103 E Race St
Kingston, TN 37763

400 W Crawford Ave
Monterey, TN 38574
Phone (931) 839-2224

136 Fairbanks Rd
Oak Ridge, TN 37830
Phone (865) 275-0100

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1780235564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2861",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385572861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S DUNCAN ST",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563009",
            "telephone_number": "931-879-5864",
            "fax_number": "931-879-3903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6845 S York Hwy",
            "address_purpose": "LOCATION",
            "city": "Clarkrange",
            "state": "TN",
            "postal_code": "385535154",
            "country_code": "US",
            "telephone_number": "931-863-5095",
            "fax_number": "931-863-3530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Hospital Ln",
            "address_purpose": "LOCATION",
            "city": "Jellico",
            "state": "TN",
            "postal_code": "377624400",
            "country_code": "US",
            "telephone_number": "931-879-5864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Old Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Celina",
            "state": "TN",
            "postal_code": "385514040",
            "country_code": "US",
            "telephone_number": "931-879-5864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Crawford Ave",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "TN",
            "postal_code": "385741166",
            "country_code": "US",
            "telephone_number": "931-839-2224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACUTE CARE CLINICS OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "EROH",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "931-879-5864"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.