The Grove Primary Care Clinic LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

THE GROVE PRIMARY CARE CLINIC LLC

Practice address

9458 Highway 100
Scotts Hill, TN 38374

Phone

(731) 549-3010

Fax

(731) 549-3013

NPI assigned

Jun 4, 2015

Last updated

Jun 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Willam J Wysor

Title

President

Phone

(731) 983-0499

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1285014241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9458 HIGHWAY 100",
            "city": "SCOTTS HILL",
            "state": "TN",
            "postal_code": "38374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9458 HIGHWAY 100",
            "city": "SCOTTS HILL",
            "state": "TN",
            "postal_code": "38374",
            "telephone_number": "731-549-3010",
            "fax_number": "731-549-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GROVE PRIMARY CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "WYSOR",
        "authorized_official_first_name": "WILLAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-983-0499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny J Pope, FNP
• Premier Family Care Inc.
• Scotts Hill Discount Drugs,LLC (Scotts Hill Discount Drugs)
• Scotts Hill Medical Clinic, Inc
• Linda S Siegl, FNP
• Tad Duane Ward, FNP
• Amber Nicole Wyatt, FNP

• Rural Health Clinic/Center in Scotts Hill, TN
• Providers in Scotts Hill, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.