Hermitage Primary Care LLC
Hermitage Primary Care LLC is a healthcare organization registered as Internal Medicine Physician in Hermitage, TN, holding Type 2 (organization) NPI 1023064540 since 2006. The authorized official on file is Gary Duncan, Vp.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023064540 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Hermitage Primary Care LLC |
| Practice address | 5653 FRIST BLVD, SUITE 236, Hermitage, TN, 37076 |
| Phone | 6152328812 |
| Fax | 6152328815 |
| Enumeration date | 2006-05-26 |
| Last updated in NPPES | 2012-11-26 |
Authorized official
| Name | Gary Duncan |
|---|---|
| Title | Vp |
| Phone | 6153737600 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3734821 | Medicaid | TN | — |
Copy-ready billing details
Provider: Hermitage Primary Care LLC NPI: 1023064540 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 5653 FRIST BLVD, SUITE 236, Hermitage, TN, 37076
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164425203 | Cathy Deppen | Individual | Obstetrics & Gynecology Physician | Hermitage, TN |
| 1528061629 | Rhonda Halcomb | Individual | Obstetrics & Gynecology Physician | Hermitage, TN |
| 1689677767 | Lisa Jabusch | Individual | Obstetrics & Gynecology Physician | Hermitage, TN |
| 1316940471 | Carol Mccullough | Individual | Obstetrics & Gynecology Physician | Hermitage, TN |
| 1801899729 | Linda Mcmillan | Individual | Family Nurse Practitioner | Hermitage, TN |
| 1427055326 | Donald Lazas | Individual | Specialist | Hermitage, TN |
| 1720086317 | Sue Lee | Individual | Specialist | Hermitage, TN |
| 1245223148 | Stephen Tench | Individual | Psychologist | Hermitage, TN |
Verify this record
Cross-check NPI 1023064540 against the authoritative CMS record: view Hermitage Primary Care LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Hermitage Primary Care LLC?
Who is the authorized official for Hermitage Primary Care LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-11-26.