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PRIMECARE CLINIC, PLLC
NPI 1194940452
Family Medicine in Bolivar, TN

Active since April 13, 2007
622 NUCKOLLS RD, BOLIVAR, TN 38008(731) 658-2120 Get Directions Write a Review

NPPES record last updated: April 7, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primecare Clinic, Pllc NPPES

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

PRIMECARE CLINIC, PLLC (NPI 1194940452) is a healthcare organization registered as a family medicine in Bolivar, Tennessee and active in the NPI registry since April 2007. The organization lists Barbara Nkomazana, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1194940452
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMECARE CLINIC, PLLC
Location Address622 NUCKOLLS RDBolivar, TN 38008-1532
Mailing AddressPo Box 479Bolivar, TN 38008-0479
Phone(731) 658-2120
Organization SubpartNo
Authorized OfficialBarbara NkomazanaPractice Manager · (731) 376-1851
Enumeration DateApril 13, 2007
Last NPPES UpdateApril 7, 2010
✔ NPI 1194940452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 25889
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 38934 (TN)
622 NUCKOLLS RD, Bolivar, TN 38008
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

SHARETA PRICE CM
Case Manager/Care Coordinator
622 NUCKOLLS RD, SUITE 2
BOLIVAR, TN 38008
Hardeman County (731) 541-8344
NEW PRIMECARE CLINICS, INC.
Internal Medicine
622 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-2120
DARSHANULA WILKES
Clinic/Center (Adult Day Care)
622 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 431-4834
CHARLES CURRIE
Case Manager/Care Coordinator
622 NUCKOLLS RD, SUITE 2
BOLIVAR, TN 38008
Hardeman County (731) 659-3854

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 Primecare Clinic, PLLC's NPI number?

The NPI number for Primecare Clinic, PLLC is 1194940452. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is Primecare Clinic, PLLC located?

Primecare Clinic, PLLC is located at 622 Nuckolls Rd, Bolivar, TN 38008. The listed phone number is (731) 658-2120.

What is Primecare Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Primecare Clinic, PLLC was last updated on April 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.