Skyline Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SKYLINE PRIMARY CARE LLC

Practice address

510 Hospital Dr
Suite 150
Madison, TN 37115-5033

Phone

(615) 865-9232

Fax

(615) 865-4159

NPI assigned

May 19, 2006

Organization subpart

Yes

Parent organization

HTI HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Chuck Locke

Title

VP

Phone

(615) 373-7604

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Indumeet Bhatia Bal, MD

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1841266582
  NPD (past)
• Luis Galano-Lavin, MD

  • Family Medicine Physician
  • Palm Coast, FL
  • NPI 1558308833
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199491200000",
    "number": "1124071071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HOSPITAL DR",
            "address_2": "SUITE 150",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155033",
            "telephone_number": "615-865-9232",
            "fax_number": "615-865-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HOSPITAL DR",
            "address_2": "SUITE 150",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155033",
            "telephone_number": "615-865-9232",
            "fax_number": "615-865-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE PRIMARY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HTI HOLDINGS, INC.",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-01-05",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3734032",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Navneet Singh
• Maegan Sivels, COTA/L
• Leah Sizemore
• Stephanie Carol Skaggs, AU.D
• Lauren Kennedy Skoog
• Skyline Primary Care, LLC
• Skyline Womens Health Associates
• Skyline Womens Health Associates Pharmacy
• Jayden Slater
• Nicky Nicole Slaughter

• Internal Medicine Physician in Madison, TN
• Providers in Madison, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2008; 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.