Primary Care Associates, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD0000029081 Issued in TN

Legal business name

PRIMARY CARE ASSOCIATES, PC

Practice address

204 Shaver Dr
Talbott, TN 37877-8552

Phone

(423) 581-7040

Fax

(423) 581-9563

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Regina Nepomuceno Coleman, MDNPI 1750378915

Title

Owner

Phone

(423) 581-7040

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina Nepomuceno Coleman, MD

  • Pediatrics Physician
  • Talbott, TN
  • NPI 1750378915
  Medicare reassignment NPD Authorized official
• Rachel Rouse Dearing, FNP

  • Family Nurse Practitioner
  • Talbott, TN
  • NPI 1043508906
  Medicare reassignment Care Compare group NPD
• Blake Alexander Medley

  • Physician Assistant
  • Talbott, TN
  • NPI 1043880834
  Medicare reassignment Care Compare group NPD
• Carolyn Elizabeth Walker, FNP

  • Family Nurse Practitioner
  • Talbott, TN
  • NPI 1720947385
  Medicare reassignment Care Compare group NPD
• Ryan K Rogers, FNP-BC

  • Family Nurse Practitioner
  • Talbott, TN
  • NPI 1356781124
  NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1306853965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SHAVER DR",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778552",
            "telephone_number": "423-581-7040",
            "fax_number": "423-581-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SHAVER DR",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778552",
            "telephone_number": "423-581-7040",
            "fax_number": "423-581-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "NEPOMUCENO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-581-7040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD0000029081",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015927",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000017666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3374269",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Armando Penedo Barragan
• Gregory James Perry, MD
• Phillips Healthcare Group, PC
• Floyd E Phillips Jr., MD
• Eliza Piomelli, M.S.
• Ginger Ann Purkey, RN
• Monserrath Ramos Perez
• Bobbie Burton Ramsey, PHD
• Regina R Rath
• Kelli Suzanne Reed

• Pediatrics Physician in Talbott, TN
• Providers in Talbott, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.