Organization Active NPI

Limestone Medical Care LLC

  • Primary Care Clinic/Center
  • Limestone, TN
National Provider Identifier
1982897641
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
APN6456 Issued in TN
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

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Dr. Mousa K Naseri, FNPNPI 1043375827
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20130918000851 TN Part B Supplier - Clinic/Group Practice 0749424406 Receives reassigned benefits from 1 practitioner
Practice locations: Limestone, TN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.