Smokey Mountain Medical LLC
NPI 1902627169 · Family Nurse Practitioner · Jacksboro, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Smokey Mountain Medical LLC is a Family Nurse Practitioner organization in Jacksboro, TN (NPI 1902627169).
Provider details
- NPI number
- 1902627169
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Anthony Kingsley, Owner(423) 592-0422
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-21
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Frequently asked questions
- What is Smokey Mountain Medical LLC's NPI number?
- Smokey Mountain Medical LLC's National Provider Identifier (NPI) is 1902627169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Smokey Mountain Medical LLC?
- Smokey Mountain Medical LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Smokey Mountain Medical LLC located?
- Smokey Mountain Medical LLC's practice location on file with NPPES is 163 Perkins Ln, Jacksboro, TN 37757-2833.
- What is Smokey Mountain Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Smokey Mountain Medical LLC is (423) 592-0422.
- Does Smokey Mountain Medical LLC accept Medicare?
- Smokey Mountain Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Smokey Mountain Medical LLC?
- The authorized official listed on Smokey Mountain Medical LLC's NPPES record is Anthony Kingsley, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Smokey Mountain Medical LLC's NPI active?
- Yes — Smokey Mountain Medical LLC's NPI (1902627169) is active in the NPPES registry as of the last update on 2024-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.