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SEQUATCHIE VALLEY UROLOGY, LLC
NPI 1225025653
Urology in Jasper, TN

Active since September 30, 2005
980 HIGHWAY 28, SUITE 201, JASPER, TN 37347(423) 942-2555(423) 942-2005 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sequatchie Valley Urology, Llc NPPES

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

SEQUATCHIE VALLEY UROLOGY, LLC (NPI 1225025653) is a healthcare organization registered as an urology in Jasper, Tennessee and active in the NPI registry since September 2005. The organization lists Patrick Birmingham, Director, as its authorized official.

NPPES Registry Identity

NPI1225025653
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSEQUATCHIE VALLEY UROLOGY, LLC
Location Address980 HIGHWAY 28, SUITE 201Jasper, TN 37347-3695
Mailing Address980 Highway 28, Suite 201Jasper, TN 37347-3699 · (423) 942-2555 · Fax (423) 942-2005
Phone(423) 942-2555
Fax(423) 942-2005
Organization SubpartNo
Authorized OfficialPatrick BirminghamDirector · (615) 373-7625
Enumeration DateSeptember 30, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1225025653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

980 HIGHWAY 28, Jasper, TN 37347
Open in Google Maps ↗

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 for Provider-Performed Microscopy Procedures (PPMP) 44D1018014

Sequatchie Valley Primary Care · Kimball, TN
Active · expires Oct 9, 2027
CLIA Number44D1018014
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorKarin A. Boeck MD
Laboratory Phone(423) 942-9171
Laboratory LocationSequatchie Valley Primary Care24 Mountain View Dr Ste A, Kimball, TN 37347
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 19

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

ROBERT S COLLINS MD
Orthopaedic Surgery
980 HIGHWAY 28, STE 102
JASPER, TN 37347
Marion County (423) 942-2851
PARVEEN B MAKHNI MD
Internal Medicine
980 HIGHWAY 28, SUITE 101
JASPER, TN 37347
Marion County (423) 942-3409
DR. EDWARD L MOSLEY M.D.
Surgery
980 HIGHWAY 28, SUITE 203
JASPER, TN 37347
Marion County (423) 942-8262
GRANDVIEW CARDIOLOGY, LLC
Internal Medicine (Cardiovascular Disease)
980 HIGHWAY 28, SUITE 102
JASPER, TN 37347
Marion County (423) 648-4380
RICHARD LAWRENCE LEVINE MD
Urology
980 HIGHWAY 28, SUITE 201
JASPER, TN 37347
Marion County (423) 942-2000
GRANDVIEW PHYSICIAN GROUP LLC
General Practice
980 HIGHWAY 28, SUITE 102
JASPER, TN 37347
Marion County (423) 837-9500
EDWARD L MOSLEY JR
Surgery
980 HIGHWAY 28, SUITE 203
JASPER, TN 37347
Marion County (423) 942-8262
MAKHNI CARDIOLOGY AND MEDICAL ASSOCIATES PA
Pediatrics
980 HIGHWAY 28, SUITE 101
JASPER, TN 37347
Marion County (423) 942-3409

Frequently Asked Questions

What is SEQUATCHIE VALLEY UROLOGY, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1225025653, enumerated as an "organization" on September 30, 2005.

Where is the provider located?

The provider is located at 980 HIGHWAY 28 SUITE 201 JASPER, TN 37347 and the phone number is (423) 942-2555.

What is the provider's specialty?

Urology with taxonomy code 208800000X.