NEW PRIMECARE CLINICS, INC. (NPI# 1497071013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497071013 |
| Entity Type | Organization |
| Organization Name | NEW PRIMECARE CLINICS, INC. |
| Practice Address |
622 Nuckolls Rd Bolivar TN 38008-1532 |
| Mailing Address |
Po Box 479 Middleton TN 38052-0479 |
| Practice Telephone | 7316582120 |
| Practice Fax Number | 7316592909 |
| Mailing Telephone | 7316582120 |
| Mailing Fax Number | 7316592909 |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-08 |
| Authorized Official Name | MS. BARBARA NKOMAZANA (MANAGER) |
| Authorized Official Telephone | 7313761851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 38934 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
622 NUCKOLLS RD |
| City | BOLIVAR |
| State | TN |
| Zip Code | 38008-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194940452 | Primecare Clinic, Pllc | Internal Medicine | 622 Nuckolls Rd, Bolivar, TN 38008-1532 | 2007-04-13 |
| 1720427883 | Charles Currie | Case Manager/Care Coordinator | 622 Nuckolls Rd, Suite 2, Bolivar, TN 38008-1532 | 2013-06-21 |
| 1902161235 | Shelby Chentel Wilkes | Case Manager/Care Coordinator | 622 Nuckolls Rd, Suite 2, Bolivar, TN 38008-1532 | 2012-07-12 |
| 1053685073 | Shareta Price | Case Manager/Care Coordinator | 622 Nuckolls Rd, Suite 2, Bolivar, TN 38008-1532 | 2012-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
| 1598326233 | Holly Brooke Shourd | Family Medicine | 1359 W Market St., Bolivar, TN 38008 | 2019-06-24 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1326595919 | Ashley Evon Jowers | Nurse Practitioner | 11100 Old Hwy 64 West, Bolivar, TN 38008 | 2016-09-01 |
| 1942458344 | Anita Pearl Johnson | Physical Therapy Assistant | 700 Knuckolls Ave, Bolivar, TN 38008 | 2008-08-28 |
| 1841340007 | State of Tennessee | Public Health or Welfare | 10825 Old Hwy 64, Bolivar, TN 38008 | 2007-01-11 |
| 1164479721 | Betty Ragon Lenoir | Physical Therapist | 789 Tennessee St, Bolivar, TN 38008 | 2006-05-28 |
| 1689623050 | County of Hardeman | Ambulance | 735 Naylor St, Bolivar, TN 38008 | 2006-05-10 |
| 1841287109 | Michiel Brent Rudder | Family Medicine | 622 West Market Street, Bolivar, TN 38008 | 2005-10-03 |
| 1982606497 | Richard Mast Reinhard IIi | Pediatrics | 629 Nuckolls Rd, Bolivar, TN 38008 | 2005-08-15 |
| Find all providers in zip 38008 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437496197 | Ryan Eugene Denney | Internal Medicine | 1155 W Parkview St Ste 1f, Bolivar, MO 65613 | 2013-01-14 |
| 1194940452 | Primecare Clinic, Pllc | Internal Medicine | 622 Nuckolls Rd, Bolivar, TN 38008-1532 | 2007-04-13 |
| 1801890223 | Felix Chukwudi Nnaji | Internal Medicine | 640 Nuckolls Rd, Bolivar, TN 38008-1532 | 2005-06-13 |
| 1669891016 | Christina Marie Capps | Internal Medicine | 1300 N Oakland Ave, Bolivar, MO 65613-3018 | 2014-04-14 |
| 1932424603 | Garrett Monk Alderfer | Internal Medicine | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2010-04-06 |
| 1497723613 | Matthew E Hiestand | Internal Medicine | 10724 State Route 212 Ne, Bolivar, OH 44612-8740 | 2006-03-14 |
| 1982689030 | Richard P Cudahy | Internal Medicine | 120 1st St, Bolivar, NY 14715-1132 | 2005-12-13 |
| 1144221201 | Sylvestor D. Nicol | Internal Medicine | 640 Nuckolls Rd, Bolivar, TN 38008-1532 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816485 | Bulls Gap Medical and Walk In Clinic | Internal Medicine | 273 Highway 11 E Ste A, Bulls Gap, TN 37711-3434 | 2020-06-19 |
| 1043856677 | Pac of Tennessee PC | Internal Medicine | 1958 West State Street, Suite 2, Bristol, TN 37620-2257 | 2019-11-19 |
| 1730739442 | Megan Elizabeth Wagner | Internal Medicine | 220 Eauclair St, Kingsport, TN 37664-4840 | 2019-09-14 |
| 1649825258 | Daniel Cusator | Internal Medicine | 9258 Wardley Park Ln, Brentwood, TN 37027-4465 | 2019-08-09 |
| 1508423799 | Priority Health, Pllc | Internal Medicine | 486 Bells Chapel Rd, Dyer, TN 38330-3028 | 2019-05-22 |
| 1326603911 | Tennessee Health Partners LLC | Internal Medicine | 5300 Maryland Way Ste 103, Brentwood, TN 37027-5074 | 2019-05-08 |
| 1740757764 | Advanced Diagnostic Imaging, PC | Internal Medicine | 2340 Fairview Boulevard, Suite 600d, Fairview, TN 37062 | 2018-10-29 |
| 1881179844 | Mtn Care, Pllc | Internal Medicine | 5543 Edmondson Pike # 231, Nashville, TN 37211-5808 | 2018-09-26 |
| 1427546415 | Christopher Nelson | Internal Medicine | 5100 Poplar Ave Ste 512, Memphis, TN 38137-0500 | 2018-04-25 |
| 1053810457 | Noi Nuyen Md, Pllc | Internal Medicine | 214 Prosperity Dr, Knoxville, TN 37923-4702 | 2018-02-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.