NPIMap

Organization Active NPI

Uhs Primary Care LLC

Doing business as UT Primary Care Maryville

  • Family Medicine Physician
  • Alcoa, TN
National Provider Identifier
1679372098
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UHS PRIMARY CARE LLC
Doing business as
UT Primary Care Maryville
Practice address
107 Gill St
Alcoa, TN 37701-2672
Phone
(865) 379-4210
Fax
(865) 379-4215
NPI assigned
Mar 10, 2025
Last updated
Mar 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Beth Maynard
Title
Vice President
Phone
(865) 585-8986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

107 Gill St
Alcoa, TN 37701-2672

Mailing address

PO Box 415000 MSC 8560
Nashville, TN 37241-8560

Other names 1

  • UT Primary Care Maryville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250516001172 TN Part B Supplier - Clinic/Group Practice 1153849856 Receives reassigned benefits from 92 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Knoxville, TN; Seymour, TN; Sevierville, TN; Lenoir City, TN; La Follette, TN; Jamestown, TN; Clinton, TN; Alcoa, TN

Other NPIs on the same Medicare enrollment 18

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

View all 18

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
44D2321273Ut Primary Care Maryville107 Gill Street, Alcoa, TN 37701Provider-performed microscopyMar 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Uhs Primary Care LLC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Practitioners & affiliated clinicians

Practitioners 2

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": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1679372098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000 MSC 8560",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372418560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GILL ST",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377012672",
            "telephone_number": "865-379-4210",
            "fax_number": "865-379-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "865-585-8986"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT Primary Care Maryville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UT Primary Care Maryville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alcoa, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.

Verify at the official NPI Registry.