Active NPI
Primary Care Medicine LLC
- Internal Medicine Physician
- Chattanooga, TN
National Provider Identifier
1063163392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PRIMARY CARE MEDICINE LLC
- Practice address
- 8705 E Brainerd Rd Ste 1
Chattanooga, TN 37421-4416 - Phone
- (423) 316-3334
- NPI assigned
- Jan 18, 2022
- Last updated
- Mar 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sukant Gupta
- Title
- Ceo
- Phone
- (863) 602-6698
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
8705 E Brainerd Rd Ste 1
Chattanooga, TN 37421-4416
Mailing address
8705 E Brainerd Rd Ste 1
Chattanooga, TN 37421-4416
Phone (863) 602-6698
National Provider Directory
National Provider DirectoryLocations
8705 E Brainerd Rd
Ste 1
Chattanooga, TN 37421
Phone (423) 316-3334
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648512000000",
"number": "1063163392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8705 E BRAINERD RD STE 1",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214416",
"telephone_number": "863-602-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8705 E BRAINERD RD STE 1",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214416",
"telephone_number": "423-316-3334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-18",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "SUKANT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "863-602-6698"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.