Greeneville Physician Services, L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GREENEVILLE PHYSICIAN SERVICES, L.L.C.

Practice address

1406 Tusculum Blvd
Suite 1200
Greeneville, TN 37745-4332

Phone

(423) 783-5520

Fax

(423) 783-5521

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Carl Steven Kilgore

Title

Vice President / Manager

Phone

(423) 915-5116

Specialties & licenses 1

Addresses

Other names 1

• Laughlin Medical Group, Primary care Doing business as

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1033477187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD",
            "address_2": "SUITE 1200",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454332",
            "telephone_number": "423-783-5520",
            "fax_number": "423-783-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 TUSCULUM BLVD",
            "address_2": "SUITE 1200",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454332",
            "telephone_number": "423-783-5520",
            "fax_number": "423-783-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENEVILLE PHYSICIAN SERVICES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "VICE PRESIDENT / MANAGER",
        "authorized_official_telephone_number": "423-915-5116"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laughlin Medical Group, Primary care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greeneville Evaluation Service
• Greeneville Eye Clinic
• Greeneville Eye Clinic Optical Shop
• Greeneville Orthopaedic Clinic, P.C.
• Greeneville Pathology Associates, P C
• Greeneville Radiology Imaging
• Greeneville Urgent Care Center Inc
• Greeneville Vision Center
• Greenville Dental Associates, PLLC
• Nikki J Greer-Collier, FNP-BC

• Family Medicine Physician in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.