NPIMap

Organization Active NPI

Logan Dameron NP-C PC

Doing business as Concord Family Practice

  • Primary Care Clinic/Center
  • Knoxville, TN
National Provider Identifier
1588409585
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LOGAN DAMERON NP-C PC
Doing business as
Concord Family Practice
Practice address
10430 Lovell Center Dr
Knoxville, TN 37922-3227
Phone
(865) 693-6620
Fax
(865) 693-2909
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Logan Dameron, NP-CNPI 1083260764
Title
NP-C; Owner
Phone
(423) 360-2383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

10430 Lovell Center Dr
Knoxville, TN 37922-3227

Mailing address

5835 Wall Flower LN
Knoxville, TN 37924-1599
Phone (423) 360-2383

Other names 1

  • Concord Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

10430 Lovell Center Dr
Knoxville, TN 37922
Phone (865) 693-6620

Practitioners & affiliated clinicians

Practitioners 8

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": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1588409585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 WALL FLOWER LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379241599",
            "telephone_number": "423-360-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 LOVELL CENTER DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223227",
            "telephone_number": "865-693-6620",
            "fax_number": "865-693-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN DAMERON NP-C PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "DAMERON",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_title_or_position": "NP-C; OWNER",
        "authorized_official_telephone_number": "423-360-2383",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Family Practice",
            "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 Jul 1, 2024; 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.