INNOVATIVE PRIMARY CARE LLC NPI 1366993263

NPI Information

NPI: 1366993263
Provider Name: INNOVATIVE PRIMARY CARE, LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
7035 MIDDLEBROOK PIKE STE B
KNOXVILLE, TN
ZIP 37909
Phone: (865) 200-8672
Get Directions

INNOVATIVE PRIMARY CARE, LLC is a medical physician assistant in Knoxville, TN. INNOVATIVE PRIMARY CARE, LLC NPI is 1366993263. The provider is registered as an organization entity type.

The provider's business location address is:

7035 MIDDLEBROOK PIKE STE B
KNOXVILLE, TN
ZIP 37909-387
Phone: (865) 200-8672
Fax: (865) 544-1570

The provider's authorized official is Stacy Louise Pinson .
The authorized official title is Office Administrator and has the following contact phone number (865) 200-8672.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 11/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			No
2	363AM0700X	Physician Assistant	Medical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q003416	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »