Primary Telecare LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMARY TELECARE LLC

Doing business as

Primary Telecare LLC

Practice address

1910 W Royale Dr
Muncie, IN 47304-2264

Phone

(765) 289-1011

NPI assigned

Dec 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Erika Green, MDNPI 1649443722

Title

Owner

Phone

(317) 703-4414

Specialties & licenses 1

Addresses

Other names 1

• Primary Telecare LLC Doing business as

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.

• Erika Green, M.D.

  • Internal Medicine Physician
  • Carmel, IN
  • NPI 1649443722
  NPD Authorized official

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1639765902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3677 GOULD DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460334750",
            "telephone_number": "317-703-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 W ROYALE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042264",
            "telephone_number": "765-289-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY TELECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-703-4414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Telecare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Nicole Prescott, FNP
• Prevail Prosthetics & Orthotics
• Brooke Price, RBT
• Dezi Price
• Kelly Price
• Taylor Privett, RBT
• Psychological Assessment and Consulting, PC (Willow Branch Counseling)
• Psychology and Beyond
• Mandy Lynn Puckett, R.D., M.A., C.D.
• Brandy Latrice Pugh

• Internal Medicine Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.