PRIMARY CARE ASSOCIATES, PC
NPI 1306853965
Pediatrics in Talbott, TN

Active since August 03, 2006CLIA 44D0955985 · Waiver
204 SHAVER DR, TALBOTT, TN 37877(423) 581-7040(423) 581-9563 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Primary Care Associates, Pc NPPES

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

PRIMARY CARE ASSOCIATES, PC (NPI 1306853965) is a healthcare organization registered as a pediatrics in Talbott, Tennessee and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Regina Nepomuceno Coleman, Owner, as its authorized official.

NPPES Registry Identity

NPI1306853965
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePRIMARY CARE ASSOCIATES, PC
Location Address204 SHAVER DRTalbott, TN 37877-8552
Mailing Address204 Shaver DrTalbott, TN 37877-8552 · (423) 581-7040 · Fax (423) 581-9563
Fax(423) 581-9563
Organization SubpartNo
Authorized OfficialRegina Nepomuceno ColemanOwner · (423) 581-7040
Enumeration DateAugust 3, 2006
Last NPPES UpdateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
NPI 1306853965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TN · MD0000029081
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN0000015927 (TN), APN0000017666 (TN)
204 SHAVER DR, Talbott, TN 37877

Other Identifiers 1

Medicaid3374269TN

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 44D0955985

Primary Care Associates, PC · Talbott, TN
Active · expires Jan 14, 2027
CLIA Number44D0955985
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorRegina Coleman
Laboratory Phone(423) 581-7040
Laboratory LocationPrimary Care Associates, PC204 Shaver Drive, Talbott, TN 37877
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 6

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

Nurse Practitioner (Family)
204 SHAVER DR
TALBOTT, TN 37877
Physician Assistant
204 SHAVER DR
TALBOTT, TN 37877
Nurse Practitioner (Family)
204 SHAVER DR
TALBOTT, TN 37877
Nurse Practitioner (Family)
204 SHAVER DR
TALBOTT, TN 37877
Nurse Practitioner (Family)
204 SHAVER DR
TALBOTT, TN 37877
Pediatrics
204 SHAVER DR
TALBOTT, TN 37877

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 Care Associates, PC's NPI number?

The NPI number for Primary Care Associates, PC is 1306853965. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Primary Care Associates, PC located?

Primary Care Associates, PC is located at 204 Shaver Dr, Talbott, TN 37877. The listed phone number is (423) 581-7040.

What is Primary Care Associates, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Primary Care Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0955985) is associated with this NPI, valid through January 14, 2027. 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 Care Associates, PC was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.