Adult Primary Healthcare LLC

Key facts

NPI: 1376748236
Entity type: Organization (NPI type 2)
Primary specialty: Adult Health Nurse Practitioner 363LA2200X
License: APN12191 (TN)
Legal business name: ADULT PRIMARY HEALTHCARE LLC
Practice address: 304 E Jefferson St
Pulaski, TN 38478-2924
Phone: (931) 207-8897
NPI assigned: Jun 19, 2007
Organization subpart: No

Authorized official

Name: Mrs. Janet S Graham, ANP ANCC NPI 1861559692
Title: Owner
Phone: (931) 207-8897

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Janet S Graham, ANP Nurse Practitioner · Pulaski, TN · NPI 1861559692

Medicare reassignment NPD Authorized official TN

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
44D1087355	Adult Primary Healthcare LLC 304 E Jefferson Street, Pulaski, TN 38478	Certificate of waiver	Jul 31, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TN

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20071020000038	TN	Part B Supplier - Clinic/Group Practice	3971699042	Receives reassigned benefits from 1 practitioner Practice locations: Pulaski, TN

National Provider Directory

Locations

304 E Jefferson St
Pulaski, TN 38478
Phone (931) 207-8897

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Adult Health Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LA2200X	APN12191	TN	Yes

Addresses

Primary practice location

304 E Jefferson St
Pulaski, TN 38478-2924

Mailing address

304 E Jefferson St
P.O.Box 731
Pulaski, TN 38478-2924
Phone (931) 207-8897

Other providers in Pulaski, TN

All providers in Pulaski, TN · Adult Health Nurse Practitioner in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.