Primary Care Physicians of Tennessee PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

041071 Issued in TN

Legal business name

PRIMARY CARE PHYSICIANS OF TENNESSEE PLLC

Practice address

739 President PL
Suite 220
Smyrna, TN 37167-6844

Phone

(615) 586-4245

Fax

(866) 412-1291

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Takasha L Stewart-Hubbard, M.D.

Title

Owner

Phone

(502) 386-3875

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1053454256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41166",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372041166",
            "telephone_number": "615-586-4245",
            "fax_number": "866-418-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 PRESIDENT PL",
            "address_2": "SUITE 220",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676844",
            "telephone_number": "615-586-4245",
            "fax_number": "866-412-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PHYSICIANS OF TENNESSEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "STEWART-HUBBARD",
        "authorized_official_first_name": "TAKASHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-386-3875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "041071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Smyrna, TN
• Providers in Smyrna, TN by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.