Lafollette Health Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26889 Issued in TN

Legal business name

LAFOLLETTE HEALTH CLINIC INC

Practice address

2503 Jacksboro Pike
Jacksboro, TN 37757-4847

Phone

(423) 566-6466

Fax

(423) 566-1387

NPI assigned

Dec 29, 2007

Last updated

May 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Childs

Title

Office Manager

Phone

(423) 566-6466

Specialties & licenses 2

Addresses

Other identifiers 3

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

Locations

Practitioners 2

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.

• Gurpreet K Narula, M.D.

  • Internal Medicine Physician
  • Jacksboro, TN
  • NPI 1619908597
  Medicare reassignment Care Compare group NPD
• Harjeet Narula, M.D.

  • Internal Medicine Physician
  • Jacksboro, TN
  • NPI 1811928799
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1198886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1407031271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 JACKSBORO PIKE",
            "city": "JAKCSBORO",
            "state": "TN",
            "postal_code": "37757",
            "telephone_number": "423-566-6466",
            "fax_number": "423-566-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 JACKSBORO PIKE",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377574847",
            "telephone_number": "423-566-6466",
            "fax_number": "423-566-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFOLLETTE HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-29",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "CHILDS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-566-6466"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "26889",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "27551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407031271",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619908597",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811928799",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Johnson, RN,BSN
• Tammy R Jones
• Jeanette Marie Keith
• Anthony M. Kingsley, FNP
• Kayla Kuszlyk
• Lindsey Lundquist, FNP-BC
• Michele O Lynch, RN
• Mark a.Collins
• George Glen Massengill, LADAC
• John McCauley, MD

• Internal Medicine Physician in Jacksboro, TN
• Providers in Jacksboro, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.