Organization Active NPI

Free Medical Clinic of Oak Ridge

  • Primary Care Clinic/Center
  • Oak Ridge, TN
National Provider Identifier
1831948504
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on May 15, 2024

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)CodeLicenseStatePrimary
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 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
44D2001098Free Medical Clinic of Oak Ridge LLC116 East Division Rd, Oak Ridge, TN 37830Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory

Locations

116 E Division Rd
Oak Ridge, TN 37830
Phone (865) 483-3904

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.