NPIMap

Organization Active NPI

Uhs Primary Care LLC

  • Internal Medicine Physician
  • La Follette, TN
National Provider Identifier
1346048626
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UHS PRIMARY CARE LLC
Practice address
109 Independence LN Ste 200
La Follette, TN 37766-3034
Phone
(423) 562-4968
Fax
(423) 562-5603
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Beth Maynard
Title
Vice President
Phone
(865) 585-8986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

109 Independence LN Ste 200
La Follette, TN 37766-3034

Mailing address

PO Box 415000-Msc8564
Nashville, TN 37241-8564

Other names 1

  • UT Primary Care LaFollette Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250516001172 TN Part B Supplier - Clinic/Group Practice 1153849856 Receives reassigned benefits from 92 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Knoxville, TN; Seymour, TN; Sevierville, TN; Lenoir City, TN; La Follette, TN; Jamestown, TN; Clinton, TN; Alcoa, TN

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

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
44D0311480Uhs Primary Care, LLC109 Independence Lane, Suite 200, La Follette, TN 37766Certificate of waiverApr 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Uhs Primary Care LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1346048626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000-MSC8564",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372418564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 INDEPENDENCE LN STE 200",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663034",
            "telephone_number": "423-562-4968",
            "fax_number": "423-562-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "865-585-8986"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT Primary Care LaFollette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Follette, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.