PRIMARY HEALTHCARE GROUP INC
NPI 1154539591
Nurse Practitioner - Family in Lafayette, TN
About Primary Healthcare Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY HEALTHCARE GROUP INC (NPI 1154539591) is a healthcare organization registered as a family in Lafayette, Tennessee and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Paul W Ballou, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primary Healthcare Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Primary Healthcare Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 44D0990942
Privia Medical Group Dba Primary Healthcare Group · Lafayette, TNFrequently 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 Primary Healthcare Group Inc's NPI number?
The NPI number for Primary Healthcare Group Inc is 1154539591. It was assigned to this organization in the NPPES registry on May 18, 2007.
Where is Primary Healthcare Group Inc located?
Primary Healthcare Group Inc is located at 200 Highway 52 Byp W, Lafayette, TN 37083. The listed phone number is (615) 688-2273.
What is Primary Healthcare Group Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Primary Healthcare Group Inc enrolled in Medicare?
Yes. Primary Healthcare Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Healthcare Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Primary Healthcare Group Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primary Healthcare Group Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D0990942) is associated with this NPI, valid through January 10, 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 Primary Healthcare Group Inc was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.
# Primary Healthcare Group Inc · NPI 1154539591
Family organization in Lafayette, Tennessee. Organization record, active in the CMS NPPES registry since May 18, 2007.
## Identity
- **NPI:** 1154539591 (Entity type: Organization)
- **Enumerated:** May 18, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Paul Ballou, SECRETARY
## Practice location
- **Address:** 200 HIGHWAY 52 BYP W, Lafayette, TN 37083-1727
- **Phone:** (615) 688-2273 · **Fax:** (615) 688-2271
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154539591) · Data from the CMS NPPES public registry.