Organization Active NPI

Roane Urgent Care Clinic LLC

  • Urgent Care Clinic/Center
  • Harriman, TN
National Provider Identifier
1396173423
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ROANE URGENT CARE CLINIC LLC
Practice address
2497 S. Roane St
Suite 110 B
Harriman, TN 37748
Phone
(865) 255-3310
Fax
(865) 590-0196
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Corey E Payne, FNP
Title
Owner
Phone
(865) 255-3310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2497 S. Roane St
Suite 110 B
Harriman, TN 37748

Mailing address

2497 S. Roane St
Suite 110B
Harriman, TN 37748
Phone (865) 255-3310

Other identifiers 1

IdentifierTypeStateIssuer
1295167351OtherTNPERSONAL NPI

National Provider Directory

National Provider Directory

Locations

2497 S Roane St
Ste 110B
Harriman, TN 37748

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1396173423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 S. ROANE ST",
            "address_2": "SUITE 110B",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "37748",
            "telephone_number": "865-255-3310",
            "fax_number": "865-590-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2497 S. ROANE ST",
            "address_2": "SUITE 110 B",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "37748",
            "telephone_number": "865-255-3310",
            "fax_number": "865-590-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANE URGENT CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-255-3310",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1295167351",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harriman, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.