NPIMap

Organization Active NPI

Chuc, LLC

  • Family Medicine Physician
  • Maryville, TN
National Provider Identifier
1518754159
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHUC, LLC
Practice address
108 Keller LN
Maryville, TN 37801-6201
Phone
(865) 205-9505
Fax
(865) 428-4767
NPI assigned
Apr 24, 2025
Organization subpart
Yes
Parent organization
CHUC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Tyler Terwilliger
Title
Senior Credentialing Specialist
Phone
(615) 656-2750

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

108 Keller LN
Maryville, TN 37801-6201

Mailing address

216 Centerview Dr Ste 100
Brentwood, TN 37027-3226
Phone (615) 656-2750

Other names 1

  • Covenant Health Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Park Med Ambulatory Car8 organizations share this tax ID, including this one
Part of
Park Med Ambulatory Car

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1518754159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CENTERVIEW DR STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273226",
            "telephone_number": "615-656-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 KELLER LN",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378016201",
            "telephone_number": "865-205-9505",
            "fax_number": "865-428-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHUC, LLC",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "TERWILLIGER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "615-656-2750"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Health Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.