SERENITY PRIMARY CARE & RECOVERY LLC


Address: 2708 Paoli Pike Ste I, New Albany, IN 47150-5100
Phone: 8127257894

SERENITY PRIMARY CARE & RECOVERY LLC (NPI# 1134690258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134690258
Entity Type Organization
Organization Name SERENITY PRIMARY CARE & RECOVERY LLC
Practice Address 2708 Paoli Pike Ste I
New Albany
IN 47150-5100
Mailing Address 1002 Catalpa Dr
Georgetown
IN 47122-8785
Practice Telephone 8127257894
Practice Fax Number 8125903168
Mailing Telephone 5025440192
Enumeration Date 2018-12-16
Last Update Date 2019-05-29
Authorized Official Name SHANNON KATHLEEN WITT (OWNER)
Authorized Official Telephone 8129133818
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2708 Paoli Pike Ste I, New Albany, IN 471505100 8127257894 8125903168
3950 Dixie Hwy Ste 202, Louisville, KY 402164147 8127257894 8125903168
4209 Outer Loop, Louisville, KY 402193850 8127257894 8125903168

Office Location

Street Address 2708 PAOLI PIKE STE I
City NEW ALBANY
State IN
Zip Code 47150-5100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538575584 Odyssey Primary Care Center, LLC Clinic/Center 2708 Paoli Pike Ste I, New Albany, IN 47150-5100 2014-07-09
1841673753 Shannon Witt Family Medicine 2708 Paoli Pike Ste I, New Albany, IN 47150-5100 2015-07-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396385050 Essential Pediatrics Physical Therapist 1614 Slate Run Road, New Albany, IN 47150 2020-01-10
1871075234 Katie Lyn Vincent Speech-Language Pathologist 845 Park Place, New Albany, IN 47150 2018-09-02
1326528811 Donna Casey Laduke Respiratory Therapist, Registered Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 2018-08-15
1003307232 Shelby Paige Buffin Social Worker 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 2018-05-23
1104315902 Whitney Nicole Malloy Physician Assistant 2108 State Street, New Albany, IN 47150 2018-05-07
1942728472 Cleanse Clinic Jeffersonville LLC Psychiatry & Neurology 2818 Grant Line Rd Ste 2, New Albany, IN 47150 2017-09-05
1881110765 Kristy Marie Delaney Social Worker 1144 Creekview Circle, New Albany, IN 47150 2017-08-22
1891217030 Sarah H. Wilson Physician Assistant 1919 State St Ste 362, New Albany, IN 47150 2017-07-10
1861939290 Lauren Brenneman Pollock Audiologist 3211 Grant Line Rd St. #37, New Albany, IN 47150 2017-01-24
1861850414 Kiley Madaleno Speech-Language Pathologist 4915 Charlestown Road, New Albany, IN 47150 2016-02-10
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Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841673753 Shannon Witt Family Medicine 2708 Paoli Pike Ste I, New Albany, IN 47150-5100 2015-07-09
1720295306 Rehabilitation Care Group Family Medicine 6525 W Campus Oval, Suite 150, New Albany, OH 43054-8830 2007-05-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659841880 Dependency Medical Holdings Corporation Family Medicine 5600 W Bradbury Ave, Indianapolis, IN 46241 2018-11-30
1467824698 Acorn Addiction Centers, LLC Family Medicine 1201 N Post Rd Ste 4, Indianapolis, IN 46219-4225 2015-10-27
1134306947 Gerald Paul Myers Family Medicine 3 Park Row, Michigan City, IN 46360 2008-01-23
1043383680 The Kolbe Center Family Medicine 1803 Broad Ripple Ave, Indianapolis, IN 46220-2339 2006-11-15
1336211481 Midwest Integrated Health Systems, P.C. Family Medicine 3300 W 15th Ave, Gary, IN 46404-1963 2006-11-14
1235209156 Elmo Allen Griggs Family Medicine 2811 Washington Ave, Bedford, IN 47421-5310 2006-11-08
1194719757 Lawrence Hastings Schoch Family Medicine 2580 Michigan Rd, Suite 2, Madison, IN 47250-2491 2005-09-09
1609340983 Nwi Behavioral & Addiction Medicine LLC Family Medicine 7805 Taft St, Merrillville, IN 46410-5233 2019-01-19
1215411020 Stellhorn Wellness, LLC Family Medicine 3464 Stellhorn Rd, Fort Wayne, IN 46815-4630 2018-09-18
1013418599 East Indiana Recovery, LLC Family Medicine 1528 Nw 5th St, Richmond, IN 47374-1844 2018-02-21
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Competitor

Search similar providers

City NEW ALBANY
Zip Code 47150

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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