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HERMITAGE PRIMARY CARE LLC
NPI 1023064540
Internal Medicine in Hermitage, TN

Active since May 26, 2006CLIA 44D0307175 · Waiver
5653 FRIST BLVD, SUITE 236, HERMITAGE, TN 37076(615) 232-8812(615) 232-8815 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hermitage Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERMITAGE PRIMARY CARE LLC (NPI 1023064540) is a healthcare organization registered as an internal medicine in Hermitage, Tennessee and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 17, 2028 and lists Gary Duncan, Vp, as its authorized official.

NPPES Registry Identity

NPI1023064540
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHERMITAGE PRIMARY CARE LLC
Location Address5653 FRIST BLVD, SUITE 236Hermitage, TN 37076-2062
Mailing Address5653 Frist Blvd, Suite 236Hermitage, TN 37076-2062 · (615) 232-8812 · Fax (615) 232-8815
Phone(615) 232-8812
Fax(615) 232-8815
Organization SubpartNo
Authorized OfficialGary DuncanVp · (615) 373-7600
Enumeration DateMay 26, 2006
Last NPPES UpdateNovember 26, 2012
✔ NPI 1023064540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
5653 FRIST BLVD, Hermitage, TN 37076
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Other Identifiers 2

Medicare PIN3734821TN
Medicaid3734821TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0307175

Hermitage Primary Care Medical Practice · Hermitage, TN
Active · expires Jan 17, 2028
CLIA Number44D0307175
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorRachel Mchenry
Laboratory Phone(615) 232-8812
Laboratory LocationHermitage Primary Care Medical Practice5653 Frist Blvd, Suite 236, Hermitage, TN 37076
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY H JOHNSON PHD
Psychologist (Clinical)
5653 FRIST BLVD, STE 434
HERMITAGE, TN 37076
Davidson County (615) 871-9996
JOY LYNN TYREE LCSW
Social Worker (Clinical)
5653 FRIST BLVD, SUITE 740
HERMITAGE, TN 37076
Davidson County (615) 865-3090
CHRISTOPHER A MOLINI M.D.
Internal Medicine (Nephrology)
5653 FRIST BLVD
HERMITAGE, TN 37076
Davidson County (615) 884-3094
DR. CHIRAG JITENDRA AMIN MD
Internal Medicine (Hematology & Oncology)
5653 FRIST BLVD, SUITE 434
HERMITAGE, TN 37076
Davidson County (615) 871-9996
CATHY A DEPPEN M.D.
Obstetrics & Gynecology
5653 FRIST BLVD, STE 738
HERMITAGE, TN 37076
Davidson County (615) 874-8006
HERMITAGE TN ENDOSCOPY ASC, LLC
Clinic/Center (Ambulatory Surgical)
5653 FRIST BLVD, SUITE 532
HERMITAGE, TN 37076
Davidson County (615) 885-1093
DR. DEBORAH G MONTGOMERY M.D.
Internal Medicine
5653 FRIST BLVD, SUITE 630
HERMITAGE, TN 37076
Davidson County (615) 391-3971
CUMBERLAND BRAIN & SPINE, PLLC
Neurological Surgery
5653 FRIST BLVD, STE 731
HERMITAGE, TN 37076
Davidson County (866) 781-1772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hermitage Primary Care LLC's NPI number?

The NPI number for Hermitage Primary Care LLC is 1023064540. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Hermitage Primary Care LLC located?

Hermitage Primary Care LLC is located at 5653 Frist Blvd Suite 236, Hermitage, TN 37076. The listed phone number is (615) 232-8812.

What is Hermitage Primary Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Hermitage Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0307175) is associated with this NPI, valid through January 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hermitage Primary Care LLC was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.