UT PRIMARY CARE LENOIR CITY
NPI 1922039429
Internal Medicine in Lenoir, TN

NPI Status: Active since July 05, 2006

Contact Information

5779 CREEKWOOD PARK BLVD
SUITE 220
LENOIR, TN
ZIP 37772
Phone: (865) 670-6750
Fax: (865) 988-8772

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  • Organization
  • Internal Medicine
  • CLIA Number: 44D0935866
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-09-2025

About UT PRIMARY CARE LENOIR CITY

This page provides the complete NPI Profile along with additional information for Ut Primary Care Lenoir City, an internist established in Lenoir, Tennessee operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1922039429 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 6 years 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 provider's is doing business as Ut Primary Care Lenoir City. The authorized official of this NPI record is Beth A Maynard (Vice President)

NPI
1922039429
Provider Legal Name
UNIVERSITY HEALTH SYSTEM, INC
Other Organization Name
UT PRIMARY CARE LENOIR CITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5779 CREEKWOOD PARK BLVD SUITE 220 LENOIR, TN 37772
Location Phone
(865) 670-6750
Location Fax
(865) 988-8772
Mailing Address
PO BOX 415000-MSC8137 NASHVILLE, TN 37241
Mailing Phone
(865) 670-6199
Mailing Fax
(865) 988-8772
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-05-2006
Last Update Date
06-05-2020
Code Navigator

An internist like Ut Primary Care Lenoir City is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

BETH A MAYNARD

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(865) 670-6754

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
32851413MEDICAID (05)TN 

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
44D0935866
Facility Type
Physician Office
Certificate Effective Date
November 10, 2023
Certificate Expiration Date
November 09, 2025
Laboratory Director
RAMANI M. REDDY MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Ut Primary Care Lenoir City in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922039429, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 0 + 3 + 1 + 8 + 4 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1922039429.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
5779 CREEKWOOD PARK BLVD
LENOIR CITY, TN 37772
Family Medicine
5779 CREEKWOOD PARK BLVD
LENOIR CITY, TN 37772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922039429, enumerated as an "organization" on July 05, 2006.

The provider is located at 5779 CREEKWOOD PARK BLVD SUITE 220 LENOIR, TN 37772 and the phone number is (865) 670-6750.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.