Dba: Piney Flats Urgent Care - Medicare Primary Care in Piney Flats, TN

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Dba: Piney Flats Urgent Care is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Piney Flats, Tennessee. The current practice location for Dba: Piney Flats Urgent Care is 6419 Bristol Highway, Piney Flats, Tennessee. For appointments, you can reach them via phone at (423) 538-5202. The mailing address for Dba: Piney Flats Urgent Care is 509 Medtech Pkwy, Johnson City, Tennessee and phone number is (423) 952-2122.

Dba: Piney Flats Urgent Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1356379093. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (423) 538-5202.

Contact Information

Dba: Piney Flats Urgent Care
6419 Bristol Highway
Piney Flats
TN 37686
(423) 538-5202
(423) 538-8208

Map and Direction


Primary Care Clinic Profile

Full NameDba: Piney Flats Urgent Care
SpecialityClinic/Center
Location6419 Bristol Highway, Piney Flats, Tennessee
Authorized Official Name and PositionCharles L Backus (AUTHORIZED OFFICIAL)
Authorized Official Contact4235385202
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dba: Piney Flats Urgent Care
509 Medtech Pkwy
Johnson City
TN 37604

Ph: (423) 952-2122		Dba: Piney Flats Urgent Care
6419 Bristol Highway
Piney Flats
TN 37686

Ph: (423) 538-5202

NPI Details:

NPI Number1356379093
Provider Enumeration Date06/29/2006
Last Update Date01/28/2022

Medicare PECOS Information:

Medicare PECOS PAC ID3870560741
Medicare Enrollment IDO20040911000150

Medical Identifiers

Medical identifiers for Dba: Piney Flats Urgent Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356379093NPI-NPPES
3726460MedicaidTN
DD0861OtherTNRR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dba: Piney Flats Urgent Care acts as a billing entity for following providers:
Provider NameCharles L Backus
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1801856414
PECOS PAC ID: 8729070107
Enrollment ID: I20040402001281
Provider NameJason A Colinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609829241
PECOS PAC ID: 6709820160
Enrollment ID: I20050616000151
Provider NameJames M Shipley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912957937
PECOS PAC ID: 4486673019
Enrollment ID: I20051114000386
Provider NameAndrew N Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558562850
PECOS PAC ID: 8729189881
Enrollment ID: I20071204000815
Provider NameJames C Glass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336389824
PECOS PAC ID: 4284782152
Enrollment ID: I20090501000519
Provider NameRachelle R Carroll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952730145
PECOS PAC ID: 4880821776
Enrollment ID: I20131223000539
Provider NameCharles Adam Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659795151
PECOS PAC ID: 2769613249
Enrollment ID: I20140326001289
Provider NameJohn Paul Blakley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194289298
PECOS PAC ID: 4981033644
Enrollment ID: I20200331002085
Provider NameWilliam Thomas Mcguire
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255978417
PECOS PAC ID: 6507295607
Enrollment ID: I20200409003177
Provider NameMary Catherine Shipley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578107181
PECOS PAC ID: 8224459003
Enrollment ID: I20200603000958
Provider NameTaylor Alese Holbrook
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184254179
PECOS PAC ID: 8921410168
Enrollment ID: I20201214000375
Provider NameJean Inderfurth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851959712
PECOS PAC ID: 6002145695
Enrollment ID: I20220503000468
Provider NameChristian Meade
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508308859
PECOS PAC ID: 1456600519
Enrollment ID: I20220829001806
Provider NameElizabeth Ann Honeycutt-martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346993482
PECOS PAC ID: 6002292992
Enrollment ID: I20220929002250
Provider NameEden Marie Villiard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164144937
PECOS PAC ID: 2062882392
Enrollment ID: I20230103001744
Provider NameAndrea R Hooper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871234500
PECOS PAC ID: 8820455595
Enrollment ID: I20230612001812

Reviews and Comments


Clinic/Center in Piney Flats, TN

Fast Pace Medical Clinic Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 5554 Highway 11 E, Piney Flats, TN 37686
Phone: 423-666-0030    Fax: 423-666-0031

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.