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PRIMARY HEALTHCARE GROUP INC
NPI 1154539591
Nurse Practitioner - Family in Lafayette, TN

Active since May 18, 2007CLIA 44D0990942 · Waiver
200 HIGHWAY 52 BYP W, LAFAYETTE, TN 37083(615) 688-2273(615) 688-2271 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1154539591
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRIMARY HEALTHCARE GROUP INC
Location Address200 HIGHWAY 52 BYP WLafayette, TN 37083-1727
Mailing Address200 Highway 52 Byp WLafayette, TN 37083-1727 · (615) 688-2273 · Fax (615) 688-2271
Phone(615) 688-2273
Fax(615) 688-2271
Organization SubpartNo
Authorized OfficialPaul W BallouSecretary · (615) 688-2273
Enumeration DateMay 18, 2007
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1154539591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
200 HIGHWAY 52 BYP W, Lafayette, TN 37083
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 44D0990942

Privia Medical Group Dba Primary Healthcare Group · Lafayette, TN
Active · expires Jan 10, 2028
CLIA Number44D0990942
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorDr. Johnequia Patterson
Laboratory Phone(615) 688-2273
Laboratory LocationPrivia Medical Group Dba Primary Healthcare Group200 Hwy 52 Bypass West, Lafayette, TN 37083
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

STANLEY A CHUNN MD
Internal Medicine
200 HIGHWAY 52 BYP W
LAFAYETTE, TN 37083
Macon County (615) 666-5600
SYDNEY RUSSELL APRN
Nurse Practitioner (Family)
200 HIGHWAY 52 BYP W
LAFAYETTE, TN 37083
Macon County (615) 688-2273

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 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.

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 15 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.