Primary Healthcare of Millington

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PRIMARY HEALTHCARE OF MILLINGTON

Practice address

4772 Navy Rd
Millington, TN 38053-1927

Phone

(901) 873-4501

Fax

(901) 873-4505

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Regina Suzanne Lindsey, M.D.

Title

Owner

Phone

(901) 873-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Family Healthcare of Millington Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Primary Healthcare of Millington

  • Primary Care Clinic/Center
  • Millington, TN
  • NPI 1871587519
  NPD tax ID

Locations

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1831432350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4772 NAVY RD",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531927",
            "telephone_number": "901-873-4501",
            "fax_number": "901-873-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 NAVY RD",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531927",
            "telephone_number": "901-873-4501",
            "fax_number": "901-873-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTHCARE OF MILLINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-873-4501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3044948",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physiotherapy Associates Inc
• Irfan Pradhan, NP
• Thomas Mitchell Prater, D.D.S.
• Robert Dennis Preston Jr.
• Primary Care Pediatrics
• Primary Healthcare of Millington
• Professional Care Services of West TN Inc
• Professional Care Services of West TN Inc
• Bradley Provence
• Rana Rad, DDS

• Nurse Practitioner in Millington, TN
• Providers in Millington, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.