Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Jefferson County Nursing Home

Skilled Nursing Facility in White Pine, TN · enumerated 2022 · authorized official Roger Mynatt, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982324182

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Jefferson County Nursing Home

Parent organization Jefferson County Nursing Home

Practice address 407 Laura Lee Dr, White Pine, TN, 37890

Phone (865) 327-4100

Enumeration date Aug 30, 2022

Last updated in NPPES Aug 30, 2022

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Roger Mynatt

Title Administrator

Phone (865) 397-3163

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Jefferson County Nursing Home located?

The practice location on file with NPPES is in White Pine, TN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-08-30. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Kathy Lane Geriatric Physical Therapist · White Pine, TN NPI 1386519908 Joshua Keathley Occupational Therapist · White Pine, TN NPI 1003777467 Raegan Willis Occupational Therapy Assistant · White Pine, TN NPI 1669327953

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-30.