NPIMap

Organization Active NPI

Primary Care & Geriatrics

  • Primary Care Clinic/Center
  • Morristown, TN
National Provider Identifier
1427449602
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
APN00000019620 Issued in TN
Legal business name
PRIMARY CARE & GERIATRICS
Practice address
1621 W Morris Blvd Ste C
Morristown, TN 37813-2969
Phone
(423) 317-7412
Fax
(423) 317-7415
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Rajeev Gupta, MDNPI 1225089725
Title
Owner
Phone
(423) 317-7412

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X APN00000019620 TN Primary

Addresses

Primary practice location

1621 W Morris Blvd Ste C
Morristown, TN 37813-2969

Mailing address

1621 W Morris Blvd Ste C
Morristown, TN 37813-2969
Phone (423) 317-7412

National Provider Directory

National Provider Directory

Locations

1621 W Morris Blvd
Ste C
Morristown, TN 37813
Phone (423) 317-7412

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": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1427449602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W MORRIS BLVD STE C",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132969",
            "telephone_number": "423-317-7412",
            "fax_number": "423-317-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W MORRIS BLVD STE C",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132969",
            "telephone_number": "423-317-7412",
            "fax_number": "423-317-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE & GERIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-317-7412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "APN00000019620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.