NPIMap

Organization Active NPI

Mercy Primary Care of Lenior City

  • Clinic/Center
  • Lenoir City, TN
National Provider Identifier
1063716066
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MERCY PRIMARY CARE OF LENIOR CITY
Practice address
501 Adesa Blvd Ste 300
Lenoir City, TN 37771-6863
Phone
(865) 987-8692
Fax
(865) 988-6296
NPI assigned
Jan 5, 2011
Organization subpart
Yes
Parent organization
MERCY PHYSICIAN SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Susanne Nelms
Title
Executive Director
Phone
(865) 549-4892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

501 Adesa Blvd Ste 300
Lenoir City, TN 37771-6863

Mailing address

501 Adesa Blvd Ste 300
Lenoir City, TN 37771-6863
Phone (865) 987-8692

National Provider Directory

National Provider Directory
Tax ID family
Mercy Women'S Center31 organizations share this tax ID, including this one
Part of
Mercy Women'S Center

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1063716066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 ADESA BLVD STE 300",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377716863",
            "telephone_number": "865-987-8692",
            "fax_number": "865-988-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ADESA BLVD STE 300",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377716863",
            "telephone_number": "865-987-8692",
            "fax_number": "865-988-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PRIMARY CARE OF LENIOR CITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY PHYSICIAN SERVICES, LLC",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-549-4892"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.