Primary Care Group Llc

LBN: Primary Care Group Llc
Primary Care Group Llc is an health care organization with primary practice located at 1211 Union Ave Ste 200 , Memphis TN 38104-6654. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Primary Care Group Llc can be contacted via phone (901) 525-0278, or through Lane, Charles R via phone (901) 478-0525.

Contact Information

Primary practice address
1211 Union Ave Ste 200 Memphis TN 38104-6654
Phone: (901) 525-0278
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lane, Charles R
Phone: (901) 478-0525

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1093016651
LBN Legal business name Primary Care Group Llc
DBA Doing business as
Authorized official Lane, Charles R
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2010
Last updated Jun 6th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093016651 NPPES
Tennessee Other DR2914 RAILROAD MEDICARE
Tennessee MEDICAID 194628002 RAILROAD MEDICARE
Tennessee MEDICAID 1522556 RAILROAD MEDICARE
Tennessee Other 4290151 RAILROAD MEDICARE
Tennessee Other DS1812 RAILROAD MEDICARE

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