White County Primary Care, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WHITE COUNTY PRIMARY CARE, LLC

Practice address

457 Vista Dr
Sparta, TN 38583-1360

Phone

(931) 738-3383

Fax

(931) 738-8911

NPI assigned

Jan 25, 2012

Last updated

Jan 25, 2012By 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

Mrs. Karen Weaver

Title

Director of Clinic Services

Phone

(931) 808-8201

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.

• Stephen Dennis Clark, M.D.

  • Internal Medicine Physician
  • Crossville, TN
  • NPI 1275727927
  NPD (past)

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1912278656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 VISTA DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831360",
            "telephone_number": "931-738-3383",
            "fax_number": "931-738-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 VISTA DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831360",
            "telephone_number": "931-738-3383",
            "fax_number": "931-738-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COUNTY PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC SERVICES",
        "authorized_official_telephone_number": "931-808-8201",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie Dorcas Welch, BCBA
• White County Community Hospital LLC (Highlands Medical Center)
• White County Community Hospital LLC (Highlands Medical Center)
• White County Community Hospital LLC (Highlands Medical Center)
• White County Physician Services LLC
• Geneth Kay Wolfer, D.O.
• Ruth Elaine Wood, FNP-C
• Jonathon Wyatt, PTA

• Internal Medicine Physician in Sparta, TN
• Providers in Sparta, 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 Jan 25, 2012; 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.