LONGEVITY CLINICAL LTC ASSOCIATES OF TENNESSEE, PLLC
NPI 1326878299
Family Medicine - Geriatric Medicine in Red Boiling Springs, TN

Active since August 06, 2024
309 MAIN ST, RED BOILING SPRINGS, TN 37150(615) 699-2238 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Longevity Clinical Ltc Associates Of Tennessee, Pllc NPPES

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

LONGEVITY CLINICAL LTC ASSOCIATES OF TENNESSEE, PLLC (NPI 1326878299) is a healthcare organization registered as a geriatric medicine in Red Boiling Springs, Tennessee and active in the NPI registry since August 2024. The organization lists Diane Vincur, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1326878299
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameLONGEVITY CLINICAL LTC ASSOCIATES OF TENNESSEE, PLLC
Location Address309 MAIN STRed Boiling Springs, TN 37150-2149
Mailing Address11780 Us Highway 1 Ste N107North Palm Beach, FL 33408-3007 · (561) 815-2427
Organization SubpartNo
Authorized OfficialDiane VincurPractice Manager · (561) 815-2427
Enumeration DateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
✔ NPI 1326878299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
309 MAIN ST, Red Boiling Springs, TN 37150

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Longevity Clinical Ltc Associates Of Tennessee, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Longevity Clinical Ltc Associates Of Tennessee, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1649929811
12 SUNSHINE LN
Scottsville, KY 42164
(904) 598-4622
✔ PECOS26 mi
Nurse Practitioner
NPI 1952851784
501 GREAT CIRCLE RD FL 3
Nashville, TN 37228
(615) 679-9087
✔ PECOS58 mi
Nurse Practitioner
NPI 1861053472
210 WESTWOOD PL STE 110
Brentwood, TN 37027
(615) 206-2462
✔ PECOS64 mi
Nurse Practitioner
NPI 1558540666
210 WESTWOOD PL STE 110
Brentwood, TN 37027
(615) 206-2462
✔ PECOS64 mi
Nurse Practitioner
NPI 1962185686
870 BOSTON TOWN RD
Dunlap, TN 37327
(423) 243-4812
✔ PECOS82 mi
Nurse Practitioner
NPI 1629445119
301 TYSON AVE
Paris, TN 38242
(731) 642-1220
✔ PECOS138 mi
Nurse Practitioner
NPI 1023550761
5439 STEVIN DR UNIT B
Paducah, KY 42001
(270) 559-3110
✔ PECOS✔ Accepts Medicare163 mi
Nurse Practitioner
NPI 1881181634
6244 HIGHWAY 305 N
Olive Branch, MS 38654
(662) 782-5024
✔ PECOS✔ Accepts Medicare249 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Longevity Clinical Ltc Associates Of Tennessee, PLLC's NPI number?

The NPI number for Longevity Clinical Ltc Associates Of Tennessee, PLLC is 1326878299. It was assigned to this organization in the NPPES registry on August 6, 2024.

Where is Longevity Clinical Ltc Associates Of Tennessee, PLLC located?

Longevity Clinical Ltc Associates Of Tennessee, PLLC is located at 309 Main St, Red Boiling Springs, TN 37150. The listed phone number is (615) 699-2238.

What is Longevity Clinical Ltc Associates Of Tennessee, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Longevity Clinical Ltc Associates Of Tennessee, PLLC enrolled in Medicare?

Yes. Longevity Clinical Ltc Associates Of Tennessee, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Longevity Clinical Ltc Associates Of Tennessee, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Longevity Clinical Ltc Associates Of Tennessee, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Longevity Clinical Ltc Associates Of Tennessee, PLLC was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.