Southern Comfort-Primary and Chronic Care Management

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SOUTHERN COMFORT-PRIMARY AND CHRONIC CARE MANAGEMENT

Practice address

416 N Locust Ave
Lawrenceburg, TN 38464-3552

Phone

(931) 762-8588

Fax

(931) 766-1010

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Haley Kimbrell, FNPNPI 1598213670

Title

FNP

Phone

(931) 762-8588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FABHCD

Practitioners 1

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

• Haley Kimbrell, FNP

  • Family Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1598213670
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1114676038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WESTPOINT RD",
            "city": "WESTPOINT",
            "state": "TN",
            "postal_code": "384865044",
            "telephone_number": "931-279-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643552",
            "telephone_number": "931-762-8588",
            "fax_number": "931-766-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COMFORT-PRIMARY AND CHRONIC CARE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "KIMBRELL",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "931-762-8588",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Ford Smith, PHARMD
• Sara Smith, NP-C
• Shavavian Smith
• Kesha Smotherman, LPC-MHSP
• Tim Harwell Solomon, BS
• Southern Tennessee Anesthesia Associates
• Southern Tennessee Applied Behavior Analysis LLC
• Hannah Spears, OTR/L
• Speech Language & Learning Center of TN
• Caitlyn Spivy

• Primary Care Clinic/Center in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.