NPIMap

Organization Active NPI

Mercy Primary Care West

  • Clinic/Center
  • Knoxville, TN
National Provider Identifier
1699068494
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MERCY PRIMARY CARE WEST
Practice address
10810 Parkside Dr Ste G11
Knoxville, TN 37934-1979
Phone
(865) 777-2727
NPI assigned
May 26, 2011
Last updated
May 26, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY PHYSICIAN SERVIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Susanne Nelms
Title
Executive Director
Phone
(865) 549-4892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

10810 Parkside Dr Ste G11
Knoxville, TN 37934-1979

Mailing address

10810 Parkside Drive Suite G11
Knoxville, TN 37934

National Provider Directory

National Provider Directory
Tax ID family
East TN Women's Specialist31 organizations share this tax ID, including this one
Part of
East TN Women's Specialist

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1699068494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DRIVE SUITE G11",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 PARKSIDE DR STE G11",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341979",
            "telephone_number": "865-777-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PRIMARY CARE WEST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY PHYSICIAN SERVIES, LLC",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-549-4892"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.