Primary Care Specialists South PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PRIMARY CARE SPECIALISTS SOUTH PLLC

Practice address

1385 S Highland Ave
Suite B1
Jackson, TN 38301-7525

Phone

(731) 427-0470

Fax

(731) 427-0995

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr John Michael Briley, DNP

Title

Owner

Phone

(731) 427-0470

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1467555763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9274",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383149274",
            "telephone_number": "731-427-0470",
            "fax_number": "731-427-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 S HIGHLAND AVE",
            "address_2": "SUITE B1",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017525",
            "telephone_number": "731-427-0470",
            "fax_number": "731-427-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE SPECIALISTS SOUTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "BRILEY",
        "authorized_official_first_name": "DR JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-427-0470",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3735747",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Care - Bemis, LLC
• Primary Care - South Limited
• Primary Care Clinic of Jackson
• Primary Care of Bemis & Associates, PLLC
• Primary Care Specialists of West Tennessee, LLC
• Alexandria Hearn Prince, FNP-C
• Emily Privitt
• Evanna Proctor, MD
• Professional Anesthesia Associates
• Professional Health Services of Jackson

• Family Nurse Practitioner in Jackson, TN
• Providers in Jackson, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.