PRIMARY CARE AND GERIATRICS PC NPI 1669676490

NPI Information

  • NPI: 1669676490
  • Provider Name: PRIMARY CARE AND GERIATRICS, PC
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • CLIA Number: 44D1004660
  • Address: 711 MCFARLAND ST
    MORRISTOWN, TN
    ZIP 37814
  • Phone: (423) 317-7412

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NPI Details

PRIMARY CARE AND GERIATRICS, PC is a geriatric medicine family medicine in Morristown, TN. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. PRIMARY CARE AND GERIATRICS, PC NPI is 1669676490. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

711 MCFARLAND ST
MORRISTOWN, TN
ZIP 37814
Phone: (423) 317-7412
Fax: (423) 317-7415

The provider's authorized official is Angula Gupta .
The authorized official title is Office Manager and has the following contact phone number (423) 317-7412.

The CLIA number assigned to this NPI record is 44D1004660 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 8/31/2015.

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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207QG0300XFamily MedicineGeriatric 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
13372546MEDICARE PINTENNESSEE
23372546MEDICAIDTENNESSEE
3080190473OTHERTENNESSEERAILROAD MEDICARE

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: 3/30/2025

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