PRIMECARE CLINIC, PLLC – NPI #1194940452
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PRIMECARE CLINIC, PLLC is a provider located in BOLIVAR, TN. NPPES has assigned the NPI number 1194940452 to PRIMECARE CLINIC, PLLC on April 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Apr 07, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIMECARE CLINIC, PLLC below.

NPI Profile for
PRIMECARE CLINIC, PLLC

NPI Number
1194940452
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIMECARE CLINIC, PLLC
Primary location
622 NUCKOLLS RD
BOLIVAR, TN 38008-1532
Phone: (731) 658-2120 Fax:
Mailing address
PO BOX 479
BOLIVAR, TN 38008-0479
Phone: Fax:
Organization Subpart
No
Authorized Official
BARBARA NKOMAZANA
PRACTICE MANAGER
Phone: (731) 376-1851
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
TN 25889
207R00000X
- Internal Medicine
TN 38934

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.