OPTIMUM PRIMARY CARE PC
NPI 1952728289
Family Medicine in Kingsport, TN

Active since March 25, 2014
444 CLINCHFIELD ST, SUITE 303, KINGSPORT, TN 37660(423) 914-3195(423) 230-2818 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Optimum Primary Care Pc NPPES

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

OPTIMUM PRIMARY CARE PC (NPI 1952728289) is a healthcare organization registered as a family medicine in Kingsport, Tennessee and active in the NPI registry since March 2014. The organization lists Mack Lynn Hicks, Physician, as its authorized official.

NPPES Registry Identity

NPI1952728289
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOPTIMUM PRIMARY CARE PC
Location Address444 CLINCHFIELD ST, SUITE 303Kingsport, TN 37660-3606
Mailing Address444 Clinchfield St, Suite 303Kingsport, TN 37660-3606
Fax(423) 230-2818
Organization SubpartNo
Authorized OfficialMack Lynn HicksPhysician · (423) 914-3195
Enumeration DateMarch 25, 2014
NPI 1952728289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · MD0000015018
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
444 CLINCHFIELD ST, Kingsport, TN 37660

Other Identifiers 3

Medicaid3024432TN
Medicare UPINA98887TN
Medicare PIN3024437TN

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

Other Providers at the Same Location NPPES 8

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

Family Medicine
444 CLINCHFIELD ST, SUITE 201
KINGSPORT, TN 37660
Internal Medicine (Interventional Cardiology)
444 CLINCHFIELD ST, UNIT 201
KINGSPORT, TN 37660
Internal Medicine (Medical Oncology)
444 CLINCHFIELD ST, UNIT 201B
KINGSPORT, TN 37660
Internal Medicine (Infectious Disease)
444 CLINCHFIELD ST, SUITE 201B
KINGSPORT, TN 37660
Orthopaedic Surgery
444 CLINCHFIELD ST, SUITE 303
KINGSPORT, TN 37660
Surgery
444 CLINCHFIELD ST, SUITE 2900
KINGSPORT, TN 37660
Internal Medicine (Pulmonary Disease)
444 CLINCHFIELD ST, UNIT 201A
KINGSPORT, TN 37660
Nurse Practitioner (Family)
444 CLINCHFIELD ST, SUITE 103
KINGSPORT, TN 37660

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 Optimum Primary Care PC's NPI number?

The NPI number for Optimum Primary Care PC is 1952728289. It was assigned to this organization in the NPPES registry on March 25, 2014.

Where is Optimum Primary Care PC located?

Optimum Primary Care PC is located at 444 Clinchfield St Suite 303, Kingsport, TN 37660. The listed phone number is (423) 914-3195.

What is Optimum Primary Care PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Optimum Primary Care PC was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.