Primus Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD019874 Issued in TN

Legal business name

PRIMUS MEDICAL GROUP PC

Practice address

1264 Wesley Dr
#206
Memphis, TN 38116-6400

Phone

(901) 364-6566

Fax

(901) 844-1439

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Benjamine F. Evans, M.D.

Title

Owner

Phone

(901) 346-6566

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3769/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Benjamin F Evans, M.D.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1568439057
  Medicare reassignment NPD

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1710028493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 WESLEY DR",
            "address_2": "#206",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166400",
            "telephone_number": "901-364-6566",
            "fax_number": "901-844-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 WESLEY DR",
            "address_2": "#206",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166400",
            "telephone_number": "901-364-6566",
            "fax_number": "901-844-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMUS MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "BENJAMINE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-346-6566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD019874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "99977",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primary Care Group LLC
• Primary Care Link LLC
• Primary Care Specialists
• Primary Healthcare Management LLC
• Prime Medical Group, PC
• Jacqueline Olivia Prince Griffin
• Patricia Elizabeth Prince-Griffin, M.S.
• Amy Nicole Prince, RN-BSN
• Darrell Nathanael Prince, ADIV
• Dorothy Claire Prince, LCSW

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.