Active NPI
Primary Care and Geriatrics, PC
- Geriatric Medicine (Family Medicine) Physician
- Morristown, TN
National Provider Identifier
1669676490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- PRIMARY CARE AND GERIATRICS, PC
- Practice address
- 711 McFarland St
Morristown, TN 37814 - Phone
- (423) 317-7412
- Fax
- (423) 317-7415
- NPI assigned
- Jun 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angula Gupta
- Title
- Office Manager
- Phone
- (423) 317-7412
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
711 McFarland St
Morristown, TN 37814
Mailing address
711 McFarland St
Morristown, TN 37814-3977
Phone (423) 317-7412
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080190473 | Other | TN | RAILROAD MEDICARE |
| 3372546 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1004660 | Primary Care and Geriatrics PC | Certificate of waiver | Oct 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
1423 W Morris Blvd
Ste B
Morristown, TN 37813
Phone (423) 586-0106
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Morristown, TN
- NPI 1891186631
-
- Internal Medicine Physician
- Morristown, TN
- NPI 1518047059
-
- Geriatric Medicine (Family Medicine) Physician
- Morristown, TN
- NPI 1225089725
-
- Family Nurse Practitioner
- Morristown, TN
- NPI 1407209562
-
- Family Nurse Practitioner
- Morristown, TN
- NPI 1942988720
Geriatric Medicine
-
- Family Nurse Practitioner
- Morristown, TN
- NPI 1770868960
-
- Nurse Practitioner
- Morristown, TN
- NPI 1679119358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440979200000",
"number": "1669676490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 MCFARLAND ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378143977",
"telephone_number": "423-317-7412",
"fax_number": "423-317-7415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 MCFARLAND ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "37814",
"telephone_number": "423-317-7412",
"fax_number": "423-317-7415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE AND GERIATRICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2015-08-31",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "ANGULA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "423-317-7412",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080190473",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3372546",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.