PRIMECARE CLINIC, PLLC (NPI# 1407076060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407076060 |
| Entity Type | Organization |
| Organization Name | PRIMECARE CLINIC, PLLC |
| Practice Address |
100 Chickadee Ave Middleton TN 38052-3425 |
| Mailing Address |
Po Box 479 Bolivar TN 38008-0479 |
| Practice Telephone | 7313760034 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2010-04-07 |
| Authorized Official Name | BARBARA NKOMAZANA (PRACTICE MANAGER) |
| Authorized Official Telephone | 7313761851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 38934 | TN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 25889 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194940452 | Primecare Clinic, Pllc | Internal Medicine | 622 Nuckolls Rd, Bolivar, TN 38008-1532 | 2007-04-13 |
| Street Address |
100 CHICKADEE AVE |
| City | MIDDLETON |
| State | TN |
| Zip Code | 38052-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639457567 | Ashley Elizabeth Harper | Nurse Practitioner | 100 Chickadee Ave, Middleton, TN 38052-3425 | 2011-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215144282 | Montgomery Family Health Center Inc | Nurse Practitioner | 727 S, Main Street, Middleton, TN 38052 | 2007-05-17 |
| 1306494372 | Middleton Pharmacy LLC | Pharmacy | 141 Main St N, Middleton, TN 38052-3405 | 2019-09-03 |
| 1457515983 | Karl H. Warren, D.d.s.,p.c. | Dentist | 137 Main St N, Middleton, TN 38052-3405 | 2008-07-14 |
| 1740549062 | Willie Thigpen | Pharmacist | 110 Chickadee Ave, Middleton, TN 38052-3425 | 2012-05-07 |
| 1265464101 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 700 S. Main Street, Middleton, TN 38052-3425 | 2006-07-07 |
| 1851732259 | William Vidal Caicedo | Nurse Practitioner | 101 Main St N, Middleton, TN 38052-3433 | 2013-07-13 |
| 1467957126 | Advanced Family Medical Center | Nurse Practitioner | 101 Main St N, Middleton, TN 38052-3433 | 2018-03-26 |
| 1164404166 | Charlotte Montgomery | Family Medicine | 727 S Main St, Middleton, TN 38052-3607 | 2005-11-16 |
| 1639729320 | Innovative Health Medical Clinic Inc. | Family Medicine | 727 S Main St, Middleton, TN 38052-3607 | 2019-09-16 |
| 1114263373 | Teresa Morgan Dillinger | Nurse Practitioner | 727 S Main St, Middleton, TN 38052-3607 | 2012-12-17 |
| Find all providers in zip 38052 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346637857 | Yoshito Kosai | Family Medicine | 6517 Hubbard Ave, Middleton, WI 53562-3308 | 2015-04-22 |
| 1164614509 | Meghan L. Tramontozzi | Family Medicine | 147 South Main Street, Middleton, MA 01949-2446 | 2007-08-09 |
| 1609986850 | Arthur Waldman | Family Medicine | 1003 Rooster Run, Middleton, WI 53562-3872 | 2006-08-30 |
| 1154390235 | Daniel R Jarzemsky | Family Medicine | 1206 Devonshire Ct, Middleton, WI 53562-3672 | 2006-03-14 |
| 1790761294 | Michael Yoon | Family Medicine | 1 Central St, Middleton, MA 01949-1743 | 2005-12-16 |
| 1164404166 | Charlotte Montgomery | Family Medicine | 727 S Main St, Middleton, TN 38052-3607 | 2005-11-16 |
| 1871112094 | Direct Doctor Care Pllc | Family Medicine | 509 S Middleton Rd Ste 105, Middleton, ID 83644-6047 | 2020-04-09 |
| 1639729320 | Innovative Health Medical Clinic Inc. | Family Medicine | 727 S Main St, Middleton, TN 38052-3607 | 2019-09-16 |
| 1841731155 | Adam L Reno | Family Medicine | 381 S Middleton Rd Ste B, Middleton, ID 83644-5369 | 2017-03-20 |
| 1902071301 | Kim Yung Sook Thompson | Family Medicine | 2275 Deming Way, Suite 240, Middleton, WI 53562-5527 | 2008-04-25 |
| Find all providers in MIDDLETON | ||||
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| 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.