Active NPI
Free Medical Clinic of Oak Ridge
- Primary Care Clinic/Center
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- FREE MEDICAL CLINIC OF OAK RIDGE
- Practice address
- 116 E Division Rd
Oak Ridge, TN 37830-6906 - Phone
- (865) 483-3904
- NPI assigned
- May 15, 2024
- 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
- Jessica Massengill
- Title
- Director of Operations
- Phone
- (865) 483-3904
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | |||
| Dental Clinic/Center | 261QD0000X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Rural Health Clinic/Center | 261QR1300X |
Addresses
Primary practice location
116 E Division Rd
Oak Ridge, TN 37830-6906
Mailing address
116 E Division Rd
Oak Ridge, TN 37830-6906
Phone (865) 483-3094
Other practice location 1
450 S Chamberlain Ave
Rockwood, TN 37854-6543
Phone (865) 234-6053
Other practice location 2
116 E Division Rd
Oak Ridge, TN 37830-6906
Phone (865) 483-3904
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 |
|---|---|---|---|
| 44D2001098 | Free Medical Clinic of Oak Ridge LLC | Certificate of waiver | Dec 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
116 E Division Rd
Oak Ridge, TN 37830
Phone (865) 483-3904
Interoperability endpoints
- https://api.platform.athenahealth.com/17050/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Oak Ridge, TN
- NPI 1265135115
-
- Pediatrics Physician
- Oak Ridge, TN
- NPI 1396780722
-
- Family Nurse Practitioner
- Oak Ridge, TN
- NPI 1063567303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1831948504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 E DIVISION RD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306906",
"telephone_number": "865-483-3094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E DIVISION RD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306906",
"telephone_number": "865-483-3904"
}
],
"practiceLocations": [
{
"address_1": "450 S Chamberlain Ave",
"address_purpose": "LOCATION",
"city": "Rockwood",
"state": "TN",
"postal_code": "378546543",
"country_code": "US",
"telephone_number": "865-234-6053",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "116 E Division Rd",
"address_purpose": "LOCATION",
"city": "Oak Ridge",
"state": "TN",
"postal_code": "378306906",
"country_code": "US",
"telephone_number": "865-483-3904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FREE MEDICAL CLINIC OF OAK RIDGE",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "MASSENGILL",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "865-483-3904"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.