NPIMap

Organization Active NPI

Pineville Primary Care, PSC

  • Pediatrics Physician
  • Pineville, KY
National Provider Identifier
1700970613
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33451 Issued in TN
Legal business name
PINEVILLE PRIMARY CARE, PSC
Practice address
850 Riverview Rd
Third Floor
Pineville, KY 40977-1430
Phone
(606) 337-7157
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Devapiran Jaishankar, M.D.NPI 1225038490
Title
Owner
Phone
(606) 337-7157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 32079 TN
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 33451 TN Primary

Addresses

Primary practice location

850 Riverview Rd
Third Floor
Pineville, KY 40977-1430

Mailing address

332 Cypress St
Pineville, KY 40977-1422
Phone (606) 337-7157

National Provider Directory

National Provider Directory

Locations

850 Riverview Ave
Fl Third
Pineville, KY 40977
Phone (606) 337-7157

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1700970613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 CYPRESS ST",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771422",
            "telephone_number": "606-337-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 RIVERVIEW RD",
            "address_2": "THIRD FLOOR",
            "city": "PINEVILLE",
            "state": "KY",
            "postal_code": "409771430",
            "telephone_number": "606-337-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEVILLE PRIMARY CARE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JAISHANKAR",
        "authorized_official_first_name": "DEVAPIRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-337-7157",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "32079",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "33451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.