NPIMap

Organization Active NPI

Uhs Primary Care LLC

Doing business as UT Primary Care Northshore

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1366240624
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UHS PRIMARY CARE LLC
Doing business as
UT Primary Care Northshore
Practice address
9625 Kroger Park Dr Ste 500
Knoxville, TN 37922-8800
Phone
(865) 531-8100
Fax
(865) 539-0909
NPI assigned
Mar 4, 2025
Last updated
Mar 4, 2025By the provider in NPPES
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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

9625 Kroger Park Dr Ste 500
Knoxville, TN 37922-8800

Mailing address

PO Box 415000-Msc8554
Nashville, TN 37241-8554

Other names 1

  • UT Primary Care Northshore 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

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 6

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": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1366240624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000-MSC8554",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372418554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 KROGER PARK DR STE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379228800",
            "telephone_number": "865-531-8100",
            "fax_number": "865-539-0909"
        }
    ],
    "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT Primary Care Northshore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.