Smoky Mountain Primary Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

16537 Issued in TN

Legal business name

SMOKY MOUNTAIN PRIMARY CARE

Practice address

1620 E Lamar Alexander Pkwy
Maryville, TN 37804-6205

Phone

(865) 405-1740

NPI assigned

Mar 10, 2018

Last updated

Mar 10, 2018By 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

Kimberly L Chambers, FNPNPI 1982977294

Title

Owner

Phone

(856) 405-1740

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 6

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.

• Kimberly Lynn Chambers, NP-C

  • Family Nurse Practitioner
  • Maryville, TN
  • NPI 1982977294
  Medicare reassignment Care Compare group NPD Authorized official
• Kara Michelle White, FNP

  • Family Nurse Practitioner
  • Maryville, TN
  • NPI 1114529492
  Medicare reassignment Care Compare group NPD
• Kayla Jolly Holt, FNP-C

  • Family Nurse Practitioner
  • Bolivar, TN
  • NPI 1205557964
  Medicare reassignment NPD
• Whitaker Michael Smith, MD

  • Family Medicine Physician
  • Seymour, TN
  • NPI 1003827205
  Medicare reassignment NPD
• Mary Salerno, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Siverville, TN
  • NPI 1487157095
  NPD
• Tamara Lynn Zelch, APRN

  • Family Nurse Practitioner
  • Madisonville, TN
  • NPI 1588273098
  NPD

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520640000000",
    "number": "1932602448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378046205",
            "telephone_number": "865-405-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378046205",
            "telephone_number": "865-405-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKY MOUNTAIN PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-03-10",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-405-1740",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "16537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kody Jacob Smitherman, FNP
• Smoky Mountain Healthcare, Inc. (Foothills Transitional Care and Rehabilitation)
• Smoky Mountain Medical Transportation LLC
• Smoky Mountain Natural Wellness
• Smoky Mountain Occupational Therapy LLC
• David Lloyd Snow, MD
• Staci Elizabeth Snyder, MPT
• Angela Marie Solberg, M.S. CCC-SLP
• Marva Solt, CD(DONA)
• Lewis C Sommerville, MD

• Primary Care Clinic/Center in Maryville, TN
• Providers in Maryville, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.