Organization Active NPI

Primary Community Care Services, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Evansville, IN
National Provider Identifier
1982367082
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
PRIMARY COMMUNITY CARE SERVICES, INC.
Practice address
3116 E Morgan Ave Ste a
Evansville, IN 47711-4471
Phone
(812) 598-6819
NPI assigned
Oct 16, 2021
Last updated
Nov 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Jaime Redman, NP-C, CCM
Title
President
Phone
(812) 598-6819

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WC0400X
Community Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WC1500X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QG0300X Primary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

3116 E Morgan Ave Ste a
Evansville, IN 47711-4471

Mailing address

3116 E Morgan Ave Ste a
Evansville, IN 47711-4471
Phone (812) 598-6819

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://patientportal.advancedmd.com/account/logon?lk=992085 Direct

National Provider Directory

National Provider Directory

Locations

3116 E Morgan Ave
Ste A
Evansville, IN 47711
Phone (812) 598-6819

NPI Registry JSON

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1982367082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 E MORGAN AVE STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114471",
            "telephone_number": "812-598-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 E MORGAN AVE STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477114471",
            "telephone_number": "812-598-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY COMMUNITY CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-16",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-598-6819",
        "authorized_official_credential": "NP-C, CCM"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://patientportal.advancedmd.com/account/logon?lk=992085",
            "affiliation": "N",
            "endpointDescription": "Certified EHR with patient portal capability, HIPPS approved and quality measures tracked.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3116 E Morgan Ave Ste A",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477114471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.