PRIMARY CARE ASSOCIATES PC NPI 1306853965

NPI Information

  • NPI: 1306853965
  • Provider Name: PRIMARY CARE ASSOCIATES, PC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 44D0955985
  • Address: 204 SHAVER DR
    TALBOTT, TN
    ZIP 37877
  • Phone: (423) 581-7040

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NPI Details

PRIMARY CARE ASSOCIATES, PC is a pediatrics in Talbott, TN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PRIMARY CARE ASSOCIATES, PC NPI is 1306853965. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

204 SHAVER DR
TALBOTT, TN
ZIP 37877-552
Phone: (423) 581-7040
Fax: (423) 581-9563

The provider's authorized official is Regina Nepomuceno Coleman .
The authorized official title is Owner and has the following contact phone number (423) 581-7040.

The CLIA number assigned to this NPI record is 44D0955985 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 2/25/2021.

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
1363LF0000XNurse PractitionerFamilyAPN0000015927TENNESSEENo
2363LF0000XNurse PractitionerFamilyAPN0000017666TENNESSEENo
3208000000XPediatricsMD0000029081TENNESSEEYes

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
13374269MEDICAIDTENNESSEE

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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