NPIMap

Organization Active NPI

Uhs Primary Care LLC

Doing business as Lakemoor Family Physicians

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1528865656
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UHS PRIMARY CARE LLC
Doing business as
Lakemoor Family Physicians
Practice address
3336 South Cir
Knoxville, TN 37920-4799
Phone
(865) 577-0320
Fax
(865) 573-9544
NPI assigned
Feb 26, 2025
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Beth Maynard
Title
Vice President
Phone
(865) 585-8986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3336 South Cir
Knoxville, TN 37920-4799

Mailing address

PO Box 415000-MSC 8547
Nashville, TN 37241-8547
Phone (865) 670-6199

Other names 1

  • Lakemoor Family Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250516001172 TN Part B Supplier - Clinic/Group Practice 1153849856 Receives reassigned benefits from 92 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Knoxville, TN; Seymour, TN; Sevierville, TN; Lenoir City, TN; La Follette, TN; Jamestown, TN; Clinton, TN; Alcoa, TN

Other NPIs on the same Medicare enrollment 18

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

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Uhs Primary Care LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

1928 Alcoa Hwy
Ste 100
Knoxville, TN 37920
Phone (865) 305-6570

11606 Chapman Hwy
Seymour, TN 37865
Phone (865) 579-7580

Practitioners & affiliated clinicians

Practitioners 85

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.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1528865656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000-MSC 8547",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372418547",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 SOUTH CIR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379204799",
            "telephone_number": "865-577-0320",
            "fax_number": "865-573-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "865-585-8986"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakemoor Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.