LUNCEFORD PRIMARY CARE, PLLC
NPI 1902619661
Family Medicine - Adult Medicine in Hermitage, TN

Active since January 28, 2025CLIA 44D2317605 · Waiver
4777 ANDREW JACKSON PKWY STE 101, HERMITAGE, TN 37076(615) 889-7010(615) 889-0135 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine
  • Adult Medicine
  • CLIA Number: 44D2317605
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-27-2027

About LUNCEFORD PRIMARY CARE, PLLC

This page provides the complete NPI Profile along with additional information for Lunceford Primary Care, Pllc, a primary care provider established in Hermitage, Tennessee operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1902619661 assigned on January 2025. The practitioner's primary taxonomy code is 207QA0505X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mary Kathryn Lunceford-levesque Pa-c (Owner)

NPI
1902619661 Verify this NPI
Provider Name
LUNCEFORD PRIMARY CARE, PLLC
Entity Type
Organization
Location Address
4777 ANDREW JACKSON PKWY STE 101 HERMITAGE, TN 37076
Location Phone
(615) 889-7010
Location Fax
(615) 889-0135
Mailing Address
4777 ANDREW JACKSON PKWY STE 101 HERMITAGE, TN 37076
Mailing Phone
(615) 889-7010
Mailing Fax
(615) 889-0135
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-28-2025
Last Update Date
01-28-2025
Code Navigator

A primary care provider (PCP) like Lunceford Primary Care, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY KATHRYN LUNCEFORD-LEVESQUE PA-C

Authorized Official Title
OWNER
Authorized Official Phone
(615) 878-1533

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2317605
Facility Type
Physician Office
Certificate Effective Date
January 28, 2025
Certificate Expiration Date
January 27, 2027
Laboratory Director
MARY KATHRYN LUNCEFORD-LEVESQUE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lunceford Primary Care, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for LUNCEFORD PRIMARY CARE, PLLC

  • 5 out of 5 stars - Review by Frankie ***** on August 11, 2025

    The staff is very polite on the phone and when you come in the door. Mary Katheryn Lunceford listens to your issue, though she is new, she is uptodate on your history. You can tell as you describe your symptoms, she knows what to look for, the right questions to ask. She examines thoroughly the area that is a problem, diagnose and experience treats the issue. A++++++++++

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902619661, enumerated as an "organization" on January 28, 2025.

The provider is located at 4777 ANDREW JACKSON PKWY STE 101 HERMITAGE, TN 37076 and the phone number is (615) 889-7010.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.