PRIMARY CARE GROUP LLC NPI 1093016651

NPI Information

  • NPI: 1093016651
  • Provider Name: PRIMARY CARE GROUP LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 44D0720413
  • Address: 1211 UNION AVE STE 200
    MEMPHIS, TN
    ZIP 38104
  • Phone: (901) 525-0278

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NPI Details

PRIMARY CARE GROUP LLC is a family medicine in Memphis, TN. The provider is 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. PRIMARY CARE GROUP LLC NPI is 1093016651. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1211 UNION AVE STE 200
MEMPHIS, TN
ZIP 38104-654
Phone: (901) 525-0278

The provider's authorized official is Tabatha Perry .
The authorized official title is Manager, Provider Enrollment and has the following contact phone number (901) 478-0954.

The CLIA number assigned to this NPI record is 44D0720413 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2010 and was last updated on 9/22/2025.

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
12084N0400XPsychiatry & NeurologyNeurologyNo
2207RG0100XInternal MedicineGastroenterologyNo
3207R00000XInternal MedicineNo
4208000000XPediatricsNo
5363LF0000XNurse PractitionerFamilyNo
6363LA2200XNurse PractitionerAdult HealthNo
7207V00000XObstetrics & GynecologyNo
8363A00000XPhysician AssistantNo
9207RR0500XInternal MedicineRheumatologyNo
10207Q00000XFamily MedicineYes

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
1DR2914OTHERTENNESSEERAILROAD MEDICARE
2DS1812OTHERMISSISSIPPIRAILROAD MEDICARE
34290151OTHERTENNESSEEBCBS TN
41522556MEDICAIDTENNESSEE

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: 11/21/2025

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