NPIMap

Organization Active NPI

Circe Medical Services LLC

  • General Practice Physician
  • Johnson City, TN
National Provider Identifier
1639447303
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD38667 Issued in TN
Legal business name
CIRCE MEDICAL SERVICES LLC
Practice address
411 Princeton Rd.
Suite 101
Johnson City, TN 37601
Phone
(423) 282-1171
Fax
(423) 282-1181
NPI assigned
Dec 8, 2011
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Marc Valley, M.D.
Title
Medical Director/Owner
Phone
(423) 282-1171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD38667 TN Primary
General Practice Physician 208D00000X 38667 TN

Addresses

Primary practice location

411 Princeton Rd.
Suite 101
Johnson City, TN 37601

Mailing address

PO Box 5751
Johnson City, TN 37602-5751
Phone (423) 282-1171

Other names 1

  • Urgent Care & Surgery Center Chattanooga Former legal business name

National Provider Directory

National Provider Directory

Locations

1010 E 3rd St
Ste 201
Chattanooga, TN 37403
Phone (423) 531-0001

1510 Gunbarrel Rd
Ste 200
Chattanooga, TN 37421
Phone (423) 825-4500

411 Princeton Rd
Ste 101
Johnson City, TN 37601
Phone (423) 282-1171

Practitioners & affiliated clinicians

Practitioners 8

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": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1639447303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5751",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376025751",
            "telephone_number": "423-282-1171",
            "fax_number": "423-282-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 PRINCETON RD.",
            "address_2": "SUITE 101",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37601",
            "telephone_number": "423-282-1171",
            "fax_number": "423-282-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "VALLEY",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "423-282-1171",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "MD38667",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "38667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care & Surgery Center Chattanooga",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.