Active NPI
Limestone Medical Care LLC
- Primary Care Clinic/Center
- Limestone, TN
National Provider Identifier
1982897641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- APN6456
- Legal business name
- LIMESTONE MEDICAL CARE LLC
- Practice address
- 533 Big Limestone Rd
Limestone, TN 37681-2537 - Phone
- (423) 257-8382
- Fax
- (423) 257-8380
- NPI assigned
- Aug 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mousa K Naseri, FNP
- Title
- Nurse Practioner
- Phone
- (423) 257-8382
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | APN6456 | TN | |
| Primary Care Clinic/Center | 261QP2300X | APN6456 | TN | Primary |
Addresses
Primary practice location
533 Big Limestone Rd
Limestone, TN 37681-2537
Mailing address
533 Big Limestone Rd.
Limestone, TN 37681
Phone (423) 257-8382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130918000851 | TN | Part B Supplier - Clinic/Group Practice | 0749424406 |
Receives reassigned benefits from 1 practitioner Practice locations: Limestone, TN |
National Provider Directory
National Provider DirectoryLocations
533 Big Limestone Rd
Limestone, TN 37681
Phone (423) 257-8282
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381795200000",
"number": "1982897641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 BIG LIMESTONE RD.",
"city": "LIMESTONE",
"state": "TN",
"postal_code": "37681",
"telephone_number": "423-257-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 BIG LIMESTONE RD",
"city": "LIMESTONE",
"state": "TN",
"postal_code": "376812537",
"telephone_number": "423-257-8382",
"fax_number": "423-257-8380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIMESTONE MEDICAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-24",
"last_updated": "2013-10-15",
"status": "A",
"authorized_official_last_name": "NASERI",
"authorized_official_first_name": "MOUSA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "NURSE PRACTIONER",
"authorized_official_telephone_number": "423-257-8382",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "TN",
"license": "APN6456",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TN",
"license": "APN6456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Limestone, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.