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

Q: 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.

On this page

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

Phone(615) 699-2238

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

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

Other Providers at the Same Location NPPES 10

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

MR. ERIC JUSTIN MCGRIFF PTA

Physical Therapy Assistant