Primary Healthcare Group Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PRIMARY HEALTHCARE GROUP INC

Practice address

200 Highway 52 Byp W
Lafayette, TN 37083-1727

Phone

(615) 688-2273

Fax

(615) 688-2271

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul W Ballou I

Title

Secretary

Phone

(615) 688-2273

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 3

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

• Johnequia Patterson, MD

  • Family Medicine Physician
  • Lafayette, TN
  • NPI 1164983789
  Medicare reassignment Care Compare group NPD
• Brande Nicole Pharris, APRN

  • Family Nurse Practitioner
  • Lafayette, TN
  • NPI 1770619777
  Medicare reassignment Care Compare group NPD
• Sydney Russell, APRN

  • Family Nurse Practitioner
  • Lafayette, TN
  • NPI 1538900071
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1154539591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGHWAY 52 BYP W",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831727",
            "telephone_number": "615-688-2273",
            "fax_number": "615-688-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGHWAY 52 BYP W",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831727",
            "telephone_number": "615-688-2273",
            "fax_number": "615-688-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTHCARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "BALLOU",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-688-2273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Ono-Emmanuel, FNP-C
• Johnequia Patterson, MD
• Chantelle Pedigo, FNP
• Brande Nicole Pharris, APRN
• Teara Fanay Pitts, P.C.T.
• Raum Holdings, Inc
• Rhett E Raum, DMD
• April Annette Reyes, FNP
• Melissa Rice, APRN
• Riteaid

• Family Nurse Practitioner in Lafayette, TN
• Providers in Lafayette, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.