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Organization Active NPI

Athens Physicians Practice LLC

  • Rural Health Clinic/Center
  • Etowah, TN
National Provider Identifier
1508627175
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ATHENS PHYSICIANS PRACTICE LLC
Practice address
305 Grady Rd Ste B
Etowah, TN 37331-1911
Phone
(423) 263-0722
Fax
(833) 369-0949
NPI assigned
Jan 19, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Amg-Crockett LLC
    • Rural Health Clinic/Center
    • Mt Pleasant, TN
    • NPI 1255069639

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Crockett, LLC
    • Rural Health Clinic/Center
    • Lawrenceburg, TN
    • NPI 1023840998

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Crockett, LLC
    • Rural Health Clinic/Center
    • Lawrenceburg, TN
    • NPI 1417739640

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Crockett, LLC
    • Rural Health Clinic/Center
    • Loretto, TN
    • NPI 1811543929

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Crockett, LLC
    • Rural Health Clinic/Center
    • Lawrenceburg, TN
    • NPI 1891580858

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Hillside LLC
    • Rural Health Clinic/Center
    • Pulaski, TN
    • NPI 1063294296

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Hillside LLC
    • Rural Health Clinic/Center
    • Pulaski, TN
    • NPI 1144052002

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Hillside LLC
    • Rural Health Clinic/Center
    • Lynnville, TN
    • NPI 1407688369

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Hillside LLC
    • Rural Health Clinic/Center
    • Ardmore, TN
    • NPI 1558117028

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Hillside LLC
    • Rural Health Clinic/Center
    • Pulaski, TN
    • NPI 1568190551

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Hillside LLC
    • Rural Health Clinic/Center
    • Lewisburg, TN
    • NPI 1881426740

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
  • Amg-Southern Tennessee LLC
    • Rural Health Clinic/Center
    • Winchester, TN
    • NPI 1063140051

    Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC

    CMS ownership
View all 193

Practitioners 59

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

View all 59

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040924000294 TN Part B Supplier - Clinic/Group Practice 2163490319 Receives reassigned benefits from 56 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Athens, TN; Etowah, TN; Charleston, TN
O20240313000899 TN Part a Provider - Rural Health Clinic 2163490319 Practice locations: Etowah, TN

Rural health clinic certification: CCN 883972

Medicare enrollment files
Legal name
ATHENS PHYSICIANS PRACTICE LLC
Doing business as
STARR REGIONAL FAMILY PRACTICE - ETOWAH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 26, 2024
Last certification
Jun 26, 2024
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Sep 11, 2001 in DE
Enrollment address
305 Grady Rd
Ste B
Etowah, TN 37331-1911

All disclosed owners & managing parties 12

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Holdings 2 LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2024 100%
Pamela Kane Individual Corporate OfficerVice President Jan 1, 2024
DSB Acquisition LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2024 100%
Laura C Hinson Individual Corporate OfficerChief Financial Officer Mar 12, 2025
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2024 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2024 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2024 100%
Charlotte E Lawrence Individual Corporate OfficerSecretary Jan 1, 2024
Elliott Brown Individual Corporate OfficerSenior Vice President and Treasurer Apr 2, 2026
Klaus Michael Boel Individual Corporate OfficerPresident Aug 19, 2024
W-2 Managing EmployeePresident Aug 19, 2024
Christopher J Monte Individual Corporate OfficerVice President Jan 1, 2024
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2024 100%

National Provider Directory

National Provider Directory
Tax ID family
Athens Physicians Prac (4 organizations share this tax ID)

Locations

711 Cook Dr
Ste 220
Athens, TN 37303
Phone (423) 381-8478

711 Cook Dr
Ste 100
Athens, TN 37303
Phone (423) 744-7585

711 Cook Dr
Ste 200
Athens, TN 37303
Phone (423) 507-8369

886 Highway 411 N
Ste B
Etowah, TN 37331
Phone (423) 263-2822

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

305 Grady Rd Ste B
Etowah, TN 37331-1911

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 1

NPPES NPI Registry
  • Starr Regional Family Practice - Etowah Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2024.

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1508627175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 GRADY RD STE B",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311911",
            "telephone_number": "423-263-0722",
            "fax_number": "833-369-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS PHYSICIANS PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starr Regional Family Practice - Etowah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Starr Regional Family Practice - Etowah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Etowah, TN

Sources for this page

Verify at the official NPI Registry.