Organization Active NPI

Midtenn Primary Care, LLC

  • Primary Care Clinic/Center
  • Lebanon, TN
National Provider Identifier
1750890174
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MIDTENN PRIMARY CARE, LLC
Practice address
701 Park Ave
Lebanon, TN 37087-3724
Phone
(615) 547-6699
Fax
(615) 547-6692
NPI assigned
Sep 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Helen D Fisher-Thorne, APRN
Title
President
Phone
(615) 547-6699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

701 Park Ave
Lebanon, TN 37087-3724

Mailing address

701 Park Ave
Lebanon, TN 37087-3724
Phone (615) 547-6699

National Provider Directory

National Provider Directory

Locations

701 Park Ave
Lebanon, TN 37087
Phone (615) 416-8010

Practitioners & affiliated clinicians

Practitioners 1

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": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750890174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873724",
            "telephone_number": "615-547-6699",
            "fax_number": "615-547-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873724",
            "telephone_number": "615-547-6699",
            "fax_number": "615-547-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTENN PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FISHER-THORNE",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-547-6699",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.