Organization Active NPI

Tennessee Valley Primary Care, PLLC

  • Family Medicine Physician
  • Dunlap, TN
National Provider Identifier
1649740366
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TENNESSEE VALLEY PRIMARY CARE, PLLC
Practice address
15324 Rankin Ave
Dunlap, TN 37327-7050
Phone
(423) 777-1010
Fax
(423) 551-3560
NPI assigned
Nov 26, 2018
Last updated
Nov 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Authorized official

Name
Stephen L KerleyNPI 1528048634
Title
Ceo
Phone
(423) 551-3560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

15324 Rankin Ave
Dunlap, TN 37327-7050

Mailing address

7155 Lee Hwy Ste 200
Chattanooga, TN 37421-0801
Phone (423) 551-3560

National Provider Directory

National Provider Directory

Locations

15324 Rankin Ave
Dunlap, TN 37327
Phone (423) 777-1010

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1649740366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 LEE HWY STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374210801",
            "telephone_number": "423-551-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15324 RANKIN AVE",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373277050",
            "telephone_number": "423-777-1010",
            "fax_number": "423-551-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "KERLEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-551-3560"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunlap, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.