NPIMap

Organization Active NPI

Attentus of Scott County, LLC

  • Family Nurse Practitioner
  • Oneida, TN
National Provider Identifier
1528029683
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ATTENTUS OF SCOTT COUNTY, LLC
Practice address
20445 Alberta St
Oneida, TN 37841-3509
Phone
(423) 569-6396
Fax
(423) 569-8640
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Gary M. Cross
Title
Bom
Phone
(423) 569-8521

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

20445 Alberta St
Oneida, TN 37841-3509

Mailing address

PO Box 4609
Oneida, TN 37841-4609
Phone (423) 569-7918

Other identifiers 4

IdentifierTypeStateIssuer
3728761MedicaidTN
78904331MedicaidKY
DC7935OtherMEDICARE RAILROAD
357349OtherKYANTHEM BCBS GROUP #

Other names 1

  • Scott County Primary Care Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Attentus of Scott County LL5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 11

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1528029683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4609",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378414609",
            "telephone_number": "423-569-7918",
            "fax_number": "423-569-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20445 ALBERTA ST",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378413509",
            "telephone_number": "423-569-6396",
            "fax_number": "423-569-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTENTUS OF SCOTT COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "BOM",
        "authorized_official_telephone_number": "423-569-8521"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "3728761",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78904331",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC7935",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS GROUP #",
            "identifier": "357349",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott County Primary Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oneida, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.