Organization Active NPI

Athens Physicians Practice LLC

Doing business as Athens Family Practice

  • Rural Health Clinic/Center
  • Athens, TN
National Provider Identifier
1629097738
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ATHENS PHYSICIANS PRACTICE LLC
Doing business as
Athens Family Practice
Starr Family Practice
Practice address
711 Cook Dr
Suite 100
Athens, TN 37303-3486
Phone
(423) 744-7585
Fax
(423) 744-7075
NPI assigned
Jul 19, 2006
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Family Nurse Practitioner 363LF0000X
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

711 Cook Dr
Suite 100
Athens, TN 37303-3486

Mailing address

711 Cook Dr Ste 100
Athens, TN 37303-3499
Phone (423) 744-7585

Other identifiers 1

IdentifierTypeStateIssuer
3374003MedicaidTN

Other names 2

  • Athens Family Practice Doing business as
  • Starr Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040924000294 TN Part B Supplier - Clinic/Group Practice 2163490319 Receives reassigned benefits from 56 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Athens, TN; Etowah, TN; Charleston, TN
O20140204000857 TN Part A Provider - Rural Health Clinic 2163490319 Practice locations: Athens, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629097738. Details of each certification follow.

Rural health clinic certification: CCN 448938

Legal name
ATHENS PHYSICIANS PRACTICE LLC
Doing business as
STARR FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 15, 2014
Last certification
Jul 27, 2021
Ownership / control type
2B
Organization structure
LLCProprietary
Incorporated
Sep 11, 2001 in DE
Enrollment address
711 Cook Dr
Ste 100
Athens, TN 37303-3499

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2006057Starr Family Practice711 Cook Drive Suite 100, Athens, TN 37303Certificate of waiverAug 8, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Holdings 2 LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 11, 2001 100%
Pamela Kane Individual Corporate OfficerVice President Aug 9, 2022
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Laura C Hinson Individual Corporate OfficerChief Financial Officer Mar 12, 2025
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2011 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 11, 2001 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Charlotte E Lawrence Individual Corporate OfficerSecretary Jan 21, 2022
Elliott Brown Individual Corporate OfficerSenior Vice President and Treasurer Apr 2, 2026
Klaus Michael Boel Individual Corporate OfficerPresident Aug 19, 2024
W-2 Managing Employee Aug 19, 2024
Christopher J Monte Individual Corporate OfficerVice President Jun 27, 2005
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 193

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1629097738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 COOK DR STE 100",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033499",
            "telephone_number": "423-744-7585",
            "fax_number": "423-744-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COOK DR",
            "address_2": "SUITE 100",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033486",
            "telephone_number": "423-744-7585",
            "fax_number": "423-744-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS PHYSICIANS PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3374003",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athens Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Starr Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.