Active NPI
Charles R Larmore, NP-C
- Family Nurse Practitioner
- Chattanooga, TN
National Provider Identifier
1922048156
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Dec 20, 2015.
- Section 1128b(4) exclusion effective May 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000008457
- Practice address
- 5323 Brainerd Rd
Ste 104
Chattanooga, TN 37411-5305 - Phone
- (423) 240-6112
- NPI assigned
- Jun 7, 2006
- Last updated
- Jul 13, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000008457 | TN | Primary |
Addresses
Primary practice location
5323 Brainerd Rd
Ste 104
Chattanooga, TN 37411-5305
Mailing address
5323 Brainerd Rd
Chattanooga, TN 37411-5305
Phone (423) 240-6112
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3929319 | Medicaid | TN | |
| P0013368 | Other | TN | RAILROAD MEDICARE |
| 4088118 | Other | TN | BCBS TN |
| 954895317 | Other | TN | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000008457 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthforce Corporation | Past | Accepting new patients | |
| Your Good Health, LLC | Past | Accepting new patients | |
| Memorial Health Partners Foundation, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72916
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Hixson, TN
- NPI 1205882529
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1922048156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5323 BRAINERD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374115305",
"telephone_number": "423-240-6112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 BRAINERD RD",
"address_2": "STE 104",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374115305",
"telephone_number": "423-240-6112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARMORE",
"first_name": "CHARLES",
"middle_name": "R",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000008457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3929319",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P0013368",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "4088118",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "954895317",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.