Serenity Primary Care & Recovery LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

SERENITY PRIMARY CARE & RECOVERY LLC

Practice address

2708 Paoli Pike Ste I
New Albany, IN 47150-5100

Phone

(812) 725-7894

Fax

(812) 590-3168

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Shannon Kathleen Witt, APRN

Title

Owner

Phone

(812) 913-3818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1134690258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 CATALPA DR",
            "city": "GEORGETOWN",
            "state": "IN",
            "postal_code": "471228785",
            "telephone_number": "502-544-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 PAOLI PIKE STE I",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471505100",
            "telephone_number": "812-725-7894",
            "fax_number": "812-590-3168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 Dixie Hwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402164147",
            "country_code": "US",
            "telephone_number": "812-725-7894",
            "fax_number": "812-590-3168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4209 Outer Loop",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402193850",
            "country_code": "US",
            "telephone_number": "812-725-7894",
            "fax_number": "812-590-3168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY PRIMARY CARE & RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-913-3818",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian L. Seger
• Joseph F Seipel, M.D.
• Senior Guidance, a Professional Services Corporation
• Joshua Michael Senn, PHARMD
• John Serak IV, M.D.
• Zoey Sermon, RBT
• Samantha Setty, BCBA
• Ashton Danette Seward-Petersmith, INTERN
• Taylor Seymour
• Tanvir B. Shah, MD

• Addiction Medicine (Family Medicine) Physician in New Albany, IN
• Providers in New Albany, IN by specialty
• Addiction Medicine (Family Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.