Organization Active NPI

DMS Primary Care

  • Clinic/Center
  • Lebanon, VA
National Provider Identifier
1760280499
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DMS PRIMARY CARE
Practice address
2336 Coal Tipple Holw Ste a
Lebanon, VA 24266-5819
Phone
(865) 622-0454
NPI assigned
Mar 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Deborah Sellers-Mooney, FNP
Title
Ceo
Phone
(865) 622-0454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2336 Coal Tipple Holw Ste a
Lebanon, VA 24266-5819

Mailing address

2336 Coal Tipple Holw Ste a
Lebanon, VA 24266-5819
Phone (865) 622-0454

National Provider Directory

National Provider Directory

Locations

2336 Coal Tipple Holw
Ste A
Lebanon, VA 24266
Phone (865) 622-0454

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": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1760280499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 COAL TIPPLE HOLW STE A",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242665819",
            "telephone_number": "865-622-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 COAL TIPPLE HOLW STE A",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242665819",
            "telephone_number": "865-622-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMS PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "SELLERS-MOONEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-622-0454",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.