Community Center Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

55849 Issued in TN

Legal business name

COMMUNITY CENTER HEALTH LLC

Practice address

1548 Parkway Ste 202
Sevierville, TN 37862-4020

Phone

(865) 446-4032

Fax

(865) 868-4746

NPI assigned

May 2, 2018

Organization subpart

No

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

Authorized official

Name

Rhonda Dee Davis

Title

General Manager

Phone

(865) 446-4032

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Center Health LLC Doing business as

Locations

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1912496274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 COMMUNITY CENTER DR STE 102",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378636243",
            "telephone_number": "865-446-4032",
            "fax_number": "865-868-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 PARKWAY STE 202",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378624020",
            "telephone_number": "865-446-4032",
            "fax_number": "865-868-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CENTER HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "865-446-4032"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "55849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRACKING",
            "identifier": "D6942593",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Center Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Michael Collins, PTA
• Patrick Wayne Collins, D.O.
• Tammy Sue Collins, LPN
• Steven Michael Comer, PA
• Communication Restoration, PLLC
• Amy Nicole Conard
• Walter K Conerly, CRNA
• Shelby Brooke Conyers, COTA/L
• John T Cook Jr., PHARM D
• Jordan Daniel Cookston

• Family Medicine Physician in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.