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GENESIS ELDERCARE PHYSICIAN SERVICES LLC
NPI 1790188076
Internal Medicine - Geriatric Medicine in La Follette, TN

Active since October 01, 2014
136 DAVIS LN, LA FOLLETTE, TN 37766(423) 562-0760 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2019, Jul 10, 2018, Apr 13, 2018 (3 updates tracked since 2018).

About Genesis Eldercare Physician Services Llc NPPES

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

GENESIS ELDERCARE PHYSICIAN SERVICES LLC (NPI 1790188076) is a healthcare organization registered as a geriatric medicine in La Follette, Tennessee and active in the NPI registry since October 2014. The organization lists Eric Shapiro, Vice President, as its authorized official.

NPPES Registry Identity

NPI1790188076
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameGENESIS ELDERCARE PHYSICIAN SERVICES LLC
Location Address136 DAVIS LNLa Follette, TN 37766
Mailing AddressPo Box 62946Baltimore, MD 21264-2946 · (410) 494-7607
Phone(423) 562-0760
Organization SubpartNo
Authorized OfficialEric ShapiroVice President · (410) 832-7790
Enumeration DateOctober 1, 2014
Last NPPES UpdateAugust 5, 20193 updates tracked since enumeration
✔ NPI 1790188076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has 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.
136 DAVIS LN, La Follette, TN 37766
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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 20

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

SCHANDA FUGATE
Physical Therapy Assistant
136 DAVIS LN
LA FOLLETTE, TN 37766
Campbell County (423) 562-0760
ASHLEY N DAVIS COTA/L
Occupational Therapy Assistant
136 DAVIS LN
LA FOLLETTE, TN 37766
Campbell County (423) 215-2915
MRS. JUSTINA LYNETTE FROST PTA
Physical Therapy Assistant
136 DAVIS LN
LA FOLLETTE, TN 37766
Campbell County (423) 562-0760
TRACY LONGMARS
Physical Therapy Assistant
136 DAVIS LN
LA FOLLETTE, TN 37766
Campbell County (423) 566-0545
CAITLIN MARIE BOSHEARS COTA/L
Occupational Therapy Assistant
136 DAVIS LN
LA FOLLETTE, TN 37766
Campbell County (423) 562-0760
TOMMY LYNN GREEN
Physical Therapy Assistant
136 DAVIS LN
LA FOLLETTE, TN 37766
Campbell County (423) 566-0766
MS. SUSAN CAROL CARNAHAN OTR/L
Occupational Therapist
136 DAVIS LN
LA FOLLETTE, TN 37766
Campbell County (423) 562-0760
BRIAN EUGENE PARROTT
Physical Therapy Assistant
136 DAVIS LN
LA FOLLETTE, TN 37766
Campbell County (423) 562-0760

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 Genesis Eldercare Physician Services LLC's NPI number?

The NPI number for Genesis Eldercare Physician Services LLC is 1790188076. It was assigned to this organization in the NPPES registry on October 1, 2014.

Where is Genesis Eldercare Physician Services LLC located?

Genesis Eldercare Physician Services LLC is located at 136 Davis Ln, La Follette, TN 37766. The listed phone number is (423) 562-0760.

What is Genesis Eldercare Physician Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Genesis Eldercare Physician Services LLC was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.