Organization Active NPI

Primecare Now of Columbia

  • Physician Assistant
  • Columbia, TN
National Provider Identifier
1528201126
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
PRIMECARE NOW OF COLUMBIA
Practice address
1202 S James Campbell Blvd
Suite 15
Columbia, TN 38401-5193
Phone
(931) 388-0450
Fax
(931) 388-0460
NPI assigned
Apr 13, 2009
Last updated
Apr 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Authorized official

Name
Mrs. Ellen N Fennel
Title
Office Manager
Phone
(931) 388-0450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1202 S James Campbell Blvd
Suite 15
Columbia, TN 38401-5193

Mailing address

1202 South James Campbell Boulevard
Suite 15
Columbia, TN 38401
Phone (931) 388-0450

National Provider Directory

National Provider Directory

Locations

1202 S James M Campbell Blvd
Ste 15
Columbia, TN 38401
Phone (931) 388-0450

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1528201126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 SOUTH JAMES CAMPBELL BOULEVARD",
            "address_2": "SUITE 15",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-388-0450",
            "fax_number": "931-388-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 S JAMES CAMPBELL BLVD",
            "address_2": "SUITE 15",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015193",
            "telephone_number": "931-388-0450",
            "fax_number": "931-388-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE NOW OF COLUMBIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "FENNEL",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-388-0450",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.