Primecare Clinic, PLLC
NPI 1194940452ActiveOrganization· Family Medicine· Bolivar, TN
Family Medicine in Bolivar, Tennessee, registered in NPPES in April 2007. The authorized official on file is Barbara Nkomazana, Practice Manager.
Overview
| NPI | 1194940452 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2007 |
| Last updated in NPPES | Apr 7, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 25889 | TN |
| Internal Medicine | 207R00000X | 38934 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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