Organization Active NPI

Goodlettsville Primary Care LLC

  • Family Medicine Physician
  • Goodlettsville, TN
National Provider Identifier
1053353771
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GOODLETTSVILLE PRIMARY CARE LLC
Practice address
318 Northcreek Blvd
Suite 200
Goodlettsville, TN 37072-1934
Phone
(615) 855-0437
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Chuck Locke
Title
VP
Phone
(615) 373-7604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

318 Northcreek Blvd
Suite 200
Goodlettsville, TN 37072-1934

Mailing address

318 Northcreek Blvd
Suite 200
Goodlettsville, TN 37072-1934
Phone (615) 855-0437

National Provider Directory

National Provider Directory

Locations

318 Northcreek Blvd
Ste 200
Goodlettsville, TN 37072
Phone (615) 855-0437

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1053353771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 NORTHCREEK BLVD",
            "address_2": "SUITE 200",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721934",
            "telephone_number": "615-855-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 NORTHCREEK BLVD",
            "address_2": "SUITE 200",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721934",
            "telephone_number": "615-855-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLETTSVILLE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7604"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.