Eterna Primary Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ETERNA PRIMARY CARE LLC

Practice address

1621 Galleria Blvd
Brentwood, TN 37027-2926

Phone

(606) 306-7706

NPI assigned

Jan 30, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Penny Logan, MSN, MBA, APRN

Title

Chief Operating Officer

Phone

(606) 306-7706

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1003766080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 GALLERIA BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272926",
            "telephone_number": "606-306-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 GALLERIA BLVD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272926",
            "telephone_number": "606-306-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNA PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "606-306-7706",
        "authorized_official_credential": "MSN, MBA, APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.