Sale Creek Primary Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SALE CREEK PRIMARY CARE, PLLC

Practice address

14402 Dayton Pike Ste C
Sale Creek, TN 37373-7823

Phone

(423) 498-3560

Fax

(423) 498-3563

NPI assigned

Jan 16, 2018

Last updated

Jan 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Whitney Ross, PANPI 1932449907

Title

Owner

Phone

(423) 498-3560

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Whitney Lititia Ross, PA-C

  • Physician Assistant
  • Sale Creek, TN
  • NPI 1932449907
  Authorized official Same address or phone

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1740798529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14402 DAYTON PIKE STE C",
            "city": "SALE CREEK",
            "state": "TN",
            "postal_code": "373737823",
            "telephone_number": "423-498-3560",
            "fax_number": "423-498-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14402 DAYTON PIKE STE C",
            "city": "SALE CREEK",
            "state": "TN",
            "postal_code": "373737823",
            "telephone_number": "423-498-3560",
            "fax_number": "423-498-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALE CREEK PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-498-3560",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Danielle Miller, LMFT
• Monyei Holdings Inc (Dspmrx Networks Pharmacy)
• Whitney Lititia Ross, PA-C
• Sale Creek Family Practice, PLLC
• Sale Creek Pharmacy, Inc (First Care Pharmacy)
• Jarrett Swafford, PHARM D.
• Micayla Grace Thompson, DPT
• Samuel Zitnyar, PA-C

• Primary Care Clinic/Center in Sale Creek, TN
• Providers in Sale Creek, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.