Primary Care Specialists of West Tennessee, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

041832 Issued in TN

Legal business name

PRIMARY CARE SPECIALISTS OF WEST TENNESSEE, LLC

Practice address

1385 S Highland Ave
Ste, B-1
Jackson, TN 38301-7525

Phone

(731) 427-0470

Fax

(731) 427-0995

NPI assigned

Dec 28, 2015

Organization subpart

No

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

Authorized official

Name

Mike Coleman

Title

President

Phone

(731) 427-0470

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1235594748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 S HIGHLAND AVE",
            "address_2": "STE, B-1",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017525",
            "telephone_number": "731-427-0470",
            "fax_number": "731-427-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 S HIGHLAND AVE",
            "address_2": "STE, B-1",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017525",
            "telephone_number": "731-427-0470",
            "fax_number": "731-427-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SPECIALISTS OF WEST TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-427-0470"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "041832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Bradford Priester, M.D.
• Primary Care - Bemis, LLC
• Primary Care - South Limited
• Primary Care Clinic of Jackson
• Primary Care of Bemis & Associates, PLLC
• Primary Care Specialists South PLLC
• Alexandria Hearn Prince, FNP-C
• Emily Privitt
• Evanna Proctor, MD
• Professional Anesthesia Associates

• Family Medicine Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.