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SEQUATCHIE VALLEY PRIMARY CARE
NPI 1518171040
Contractor in Kimball, TN

Active since May 10, 2007CLIA 44D1018014 · Microscopy
24 MOUNTAIN VIEW DR, SUITE A, KIMBALL, TN 37347(423) 942-9171(423) 942-9128 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2025, Jul 8, 2024, Aug 24, 2016 (3 updates tracked since 2016).

About Sequatchie Valley Primary Care NPPES

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

SEQUATCHIE VALLEY PRIMARY CARE (NPI 1518171040) is a healthcare organization registered as a contractor in Kimball, Tennessee and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through October 9, 2027 and lists Karin A Boeck, President, as its authorized official.

NPPES Registry Identity

NPI1518171040
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business NameSEQUATCHIE VALLEY PRIMARY CARE
Location Address24 MOUNTAIN VIEW DR, SUITE AKimball, TN 37347-5477
Mailing Address24 Mountain View Dr, Suite AKimball, TN 37347-5477 · (423) 942-9171 · Fax (423) 942-9128
Phone(423) 942-9171
Fax(423) 942-9128
Organization SubpartNo
Authorized OfficialKarin A BoeckPresident · (423) 942-9171
Enumeration DateMay 10, 2007
Last NPPES UpdateJune 5, 20253 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1518171040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
24 MOUNTAIN VIEW DR, Kimball, TN 37347
Open in Google Maps ↗

Other Identifiers 1

Medicaid1526744TN

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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
CLIA data matches this NPI record on: Address Name Phone
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 4

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

DEBORAH WYATT GADDIS NP-C
Nurse Practitioner (Family)
24 MOUNTAIN VIEW DR, SUITE A
KIMBALL, TN 37347
Marion County (423) 942-9171
DR. RORY D JUSTO M.D.
Internal Medicine
24 MOUNTAIN VIEW DR
KIMBALL, TN 37347
Marion County (423) 942-9171
SILKE HOOSIER FNP
Nurse Practitioner (Family)
24 MOUNTAIN VIEW DR, SUITE A
KIMBALL, TN 37347
Marion County (423) 942-9171
CHATTANOOGA ORTHOPAEDIC GROUP, PC
Orthopaedic Surgery
24 MOUNTAIN VIEW DR, SUITE A
KIMBALL, TN 37347
Marion County (423) 624-2696

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 Sequatchie Valley Primary Care's NPI number?

The NPI number for Sequatchie Valley Primary Care is 1518171040. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Sequatchie Valley Primary Care located?

Sequatchie Valley Primary Care is located at 24 Mountain View Dr Suite A, Kimball, TN 37347. The listed phone number is (423) 942-9171.

What is Sequatchie Valley Primary Care's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

Does Sequatchie Valley Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D1018014) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sequatchie Valley Primary Care accept?

Health plans from Alliant Health Plans, Inc. list Sequatchie Valley Primary Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sequatchie Valley Primary Care was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.