Centennial Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTENNIAL PRIMARY CARE LLC

Practice address

1009 N Locust Ave
Suite 1
Lawrenceburg, TN 38464-2706

Phone

(931) 762-0531

Fax

(931) 762-0998

NPI assigned

Jan 3, 2008

Last updated

Jun 2, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

HOSPITAL CORP. LLCAs reported in NPPES

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

Authorized official

Name

Gary Duncan

Title

Vice President

Phone

(954) 767-5716

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1265617674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N LOCUST AVE",
            "address_2": "SUITE 1",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642706",
            "telephone_number": "931-762-0531",
            "fax_number": "931-762-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N LOCUST AVE",
            "address_2": "SUITE 1",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642706",
            "telephone_number": "931-762-0531",
            "fax_number": "931-762-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL PRIMARY CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL CORP. LLC",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-767-5716"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Larry Caperton, PHARMD
• Cardiology Specialty Care Tennessee, LLC
• Caris Healthcare (Caris HealthCare, Lawrenceburg)
• Brian Carter
• Little Feather Jocelyn Castillo, BCBA
• Melanie Amanda Chandrakasem, O.T.D., O.T.R./L
• Aleaha Chapman, COTA/L
• Doris Ann Chapman, FNP-BC
• Jay M. Chapman, O.D.
• Sonya Renee Chapman, LPN

• Family Medicine Physician in Lawrenceburg, TN
• Providers in Lawrenceburg, 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 Jun 2, 2008; 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.