OPEN DOOR PRIMARY CARE & WELLNESS NPI 1386359446

NPI Information

  • NPI: 1386359446
  • Provider Name: OPEN DOOR PRIMARY CARE & WELLNESS
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 44D2276228
  • Address: 228 N FAIRMONT AVE
    MORRISTOWN, TN
    ZIP 37814
  • Phone: (865) 236-0425

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NPI Details

OPEN DOOR PRIMARY CARE & WELLNESS is a primary care clinic center in Morristown, TN. OPEN DOOR PRIMARY CARE & WELLNESS NPI is 1386359446. The provider is registered as an organization entity type.

The provider's business location address is:

228 N FAIRMONT AVE
MORRISTOWN, TN
ZIP 37814-768
Phone: (865) 236-0425

The provider's authorized official is Cristy Anne Stallings .
The authorized official title is Co-owner and has the following contact phone number (865) 236-0425.

The CLIA number assigned to this NPI record is 44D2276228 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2023 and was last updated on 1/23/2023.

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
1261QP2300XClinic/CenterPrimary CareYes

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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