Active NPI
Athens Physicians Practice LLC
Doing business as Starr Regional Family Practice - Etowah
- Rural Health Clinic/Center
- Etowah, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- ATHENS PHYSICIANS PRACTICE LLC
- Doing business as
- Starr Regional Family Practice - Etowah
- Practice address
- 305 Grady Rd Ste B
Etowah, TN 37331-1911 - Phone
- (423) 263-0722
- Fax
- (833) 369-0949
- NPI assigned
- Jan 19, 2024
- Last updated
- Sep 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlotte Lawrence
- Title
- Secretary
- Phone
- (615) 920-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
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
- Starr Regional Family Practice - Etowah
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508627175. Details of each certification follow.
Rural health clinic certification: CCN 883972
- 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
- LLC
- Incorporated
- Sep 11, 2001 in DE
- Enrollment address
- 305 Grady Rd
Ste B
Etowah, TN 37331-1911
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Athens Family Practice
- Rural Health Clinic/Center
- Athens, TN
- NPI 1629097738
2163490319
-
dba Starr Orthopedics & Sports Medicine
- Orthopaedic Surgery Physician
- Athens, TN
- NPI 1689055774
2163490319
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba William R. Bowers MD
- Family Medicine Physician
- Athens, TN
- NPI 1073532123
O20040924000294
-
dba Starr Convenient Care - Charleston
- Rural Health Clinic/Center
- Charleston, TN
- NPI 1255113486
O20040924000294
-
dba Medical Associates of Athens
- Internal Medicine Physician
- Athens, TN
- NPI 1306850144
O20040924000294
-
- Internal Medicine Physician
- Athens, TN
- NPI 1518052166
O20040924000294
-
dba Athens Family Practice
- Rural Health Clinic/Center
- Athens, TN
- NPI 1629097738
O20040924000294
-
dba Starr Regional Family Practice - Etowah
- Family Medicine Physician
- Etowah, TN
- NPI 1639699044
O20040924000294
-
dba Starr Orthopedics & Sports Medicine
- Orthopaedic Surgery Physician
- Athens, TN
- NPI 1689055774
O20040924000294
-
dba Starr Regional Medical Clinic - Etowah
- Family Medicine Physician
- Etowah, TN
- NPI 1730542309
O20040924000294
National Provider Directory
National Provider Directory- Tax ID family
- Athens Family Practice
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Starr Convenient Care
- Rural Health Clinic/Center
- Athens, TN
- NPI 1528840758
-
dba Athens Family Practice
- Family Medicine Physician
- Athens, TN
- NPI 1598266116
-
dba Athens Family Practice
- Family Medicine Physician
- Athens, TN
- NPI 1003310392
Locations
705 Cook Dr
Ste 203
Athens, TN 37303
Phone (423) 744-1300
711 Cook Dr
Ste 110
Athens, TN 37303
Phone (423) 746-0122
711 Cook Dr
Ste 220
Athens, TN 37303
Phone (423) 381-8478
809 Cook Dr
Athens, TN 37303
Phone (423) 746-0122
305 Grady Rd
Ste B
Etowah, TN 37331
Phone (423) 263-0722
886 Highway 411 N
Ste B
Etowah, TN 37331
Phone (423) 263-2822
Ownership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lifepoint Holdings 2 LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2024 | 100% |
| Pamela Kane | Corporate Officer | Jan 1, 2024 | |
| DSB Acquisition LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 100% |
| Laura C Hinson | Corporate Officer | Mar 12, 2025 | |
| Lifepoint Hospitals Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 100% |
| Historic Lifepoint Hospitals, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 100% |
| Lifepoint Health Inc | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 100% |
| Charlotte E Lawrence | Corporate Officer | Jan 1, 2024 | |
| Elliott Brown | Corporate Officer | Apr 2, 2026 | |
| Klaus Michael Boel | Corporate Officer | Aug 19, 2024 | |
| W-2 Managing Employee | Aug 19, 2024 | ||
| Christopher J Monte | Corporate Officer | Jan 1, 2024 | |
| Legacy Lifepoint Health LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 100% |
Facilities with the same owner 193
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Summertown Medical Center
- 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
-
dba First Choice Health Lawrenceburg
- Rural Health Clinic/Center
- Lawrenceburg, TN
- NPI 1023840998
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Southern Tennessee Internal Medicine - Lawrenceburg
- Rural Health Clinic/Center
- Lawrenceburg, TN
- NPI 1417739640
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba First Choice Health Loretto
- Rural Health Clinic/Center
- Loretto, TN
- NPI 1811543929
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Women's Health Clinic
- Rural Health Clinic/Center
- Lawrenceburg, TN
- NPI 1891580858
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Southern Tennessee Family Health - Pulaski
- Rural Health Clinic/Center
- Pulaski, TN
- NPI 1063294296
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Southern Tennessee Primary Care Eastside
- Rural Health Clinic/Center
- Pulaski, TN
- NPI 1144052002
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Southern Tennessee Primary Care Lynnville
- Rural Health Clinic/Center
- Lynnville, TN
- NPI 1407688369
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Southern Tennessee Primary Care Ardmore
- Rural Health Clinic/Center
- Ardmore, TN
- NPI 1558117028
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba First Choice Health - Pulaski
- Rural Health Clinic/Center
- Pulaski, TN
- NPI 1568190551
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Southern Tennessee Primary Care Cornersville
- Rural Health Clinic/Center
- Lewisburg, TN
- NPI 1881426740
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
-
dba Highpoint Family Wellness - Winchester with Ascension Saint Thomas
- Rural Health Clinic/Center
- Winchester, TN
- NPI 1063140051
Historic Lifepoint Hospitals, LLC, Legacy Lifepoint Health LLC, Lifepoint Holdings 2 LLC, Lifepoint Hospitals Holdings LLC
Practitioners & affiliated clinicians
Practitioners 57
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.
-
- Interventional Cardiology Physician
- Powell, TN
- NPI 1013001098
-
- Cardiovascular Disease Physician
- Athens, TN
- NPI 1184999021
-
- Family Medicine Physician
- Athens, TN
- NPI 1447262449
-
- Family Medicine Physician
- Athens, TN
- NPI 1457363384
-
- Physician Assistant
- Athens, TN
- NPI 1336367671
-
- Specialist
- Chattanooga, TN
- NPI 1023002466
-
- Family Medicine Physician
- Etowah, TN
- NPI 1235126392
-
- Physician Assistant
- Cleveland, TN
- NPI 1376548040
-
- Family Nurse Practitioner
- Athens, TN
- NPI 1679002059
-
- Family Nurse Practitioner
- Etowah, TN
- NPI 1902417728
-
- Family Nurse Practitioner
- Alcoa, TN
- NPI 1952719544
-
- Nurse Practitioner
- Englewood, TN
- NPI 1811212962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
- Jeffrey Allan Anderson, DPH
- Appalachian Medical Services LLC
- Alicia Arthur
- Laura Lynn Arthur, PHARM.D
- Beth Elaine Atchley, DPT
- Athens Physicians Practice LLC (Starr Regional Family Practice - Etowah)
- Athens Physicians Practice, LLC (Starr Regional Medical Clinic - Etowah)
- Athens Regional Medical Center LLC (Starr Regional Health & Rehabilitation)
- Alfred Kent Beightol
- Carol W Bell, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.