Organization Active NPI

Volunteer Primary Care, LLC

  • Primary Care Clinic/Center
  • Seymour, TN
National Provider Identifier
1255088159
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
VOLUNTEER PRIMARY CARE, LLC
Practice address
127 W Macon LN Ste 2
Seymour, TN 37865-4776
Phone
(865) 268-5009
Fax
(865) 800-4862
NPI assigned
Mar 10, 2022
Last updated
May 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Jeremy Ray Strader, NPNPI 1881237618
Title
Owner / Operator
Phone
(865) 268-5009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

127 W Macon LN Ste 2
Seymour, TN 37865-4776

Mailing address

127 W Macon LN Ste 2
Seymour, TN 37865-4776
Phone (865) 268-5009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220706003116 TN Part B Supplier - Clinic/Group Practice 9830579077 Receives reassigned benefits from 2 practitioners
Practice locations: Seymour, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2301876Volunteer Primary Care127 W Macon Lane, Ste 2, Seymour, TN 37865Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory

Locations

127 W Macon Ln
Ste 2
Seymour, TN 37865
Phone (865) 268-5009

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26314/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1255088159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W MACON LN STE 2",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654776",
            "telephone_number": "865-268-5009",
            "fax_number": "865-800-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W MACON LN STE 2",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654776",
            "telephone_number": "865-268-5009",
            "fax_number": "865-800-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUNTEER PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "STRADER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER / OPERATOR",
        "authorized_official_telephone_number": "865-268-5009",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.