NPIMap

Organization Active NPI

Primary Care Clinic of Gibson County, PLLC

Doing business as Primary Care Center

  • Family Medicine Physician
  • Trenton, TN
National Provider Identifier
1174520829
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3704891 Issued in TN
Legal business name
PRIMARY CARE CLINIC OF GIBSON COUNTY, PLLC
Doing business as
Primary Care Center
Practice address
500 Hospital Dr
Trenton, TN 38382-3321
Phone
(731) 855-3510
Fax
(731) 855-1387
NPI assigned
Jul 7, 2005
Last updated
Jul 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Dr. James L William II, MD
Title
MD
Phone
(731) 855-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3704891 TN Primary

Addresses

Primary practice location

500 Hospital Dr
Trenton, TN 38382-3321

Mailing address

500 Hospital Dr
Trenton, TN 38382-3321
Phone (731) 855-3510

Other names 1

  • Primary Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

500 Hospital Dr
Trenton, TN 38382
Phone (731) 855-3510

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1174520829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HOSPITAL DR",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383823321",
            "telephone_number": "731-855-3510",
            "fax_number": "731-855-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOSPITAL DR",
            "city": "TRENTON",
            "state": "TN",
            "postal_code": "383823321",
            "telephone_number": "731-855-3510",
            "fax_number": "731-855-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE CLINIC OF GIBSON COUNTY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "731-855-3510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "3704891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.