Sequatchie Valley Primary Care
Sequatchie Valley Primary Care is a healthcare organization registered as Contractor in Kimball, TN, holding Type 2 (organization) NPI 1518171040 since 2007. The authorized official on file is Karin Boeck, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1518171040 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Sequatchie Valley Primary Care |
| Practice address | 24 MOUNTAIN VIEW DR, SUITE A, Kimball, TN, 37347 |
| Phone | 4239429171 |
| Fax | 4239429128 |
| Enumeration date | 2007-05-10 |
| Last updated in NPPES | 2025-06-05 |
Authorized official
| Name | Karin Boeck |
|---|---|
| Title | President |
| Phone | 4239429171 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 171W00000X | Contractor | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1526744 | Medicaid | TN | — |
Copy-ready billing details
Provider: Sequatchie Valley Primary Care NPI: 1518171040 Taxonomy: 171W00000X (Contractor) Address: 24 MOUNTAIN VIEW DR, SUITE A, Kimball, TN, 37347
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639160203 | Rory Justo | Individual | Internal Medicine Physician | Kimball, TN |
| 1619246873 | Deborah Gaddis | Individual | Family Nurse Practitioner | Kimball, TN |
| 1932572575 | Chattanooga Orthopaedic Group, PC | Organization | Orthopaedic Surgery Physician | Kimball, TN |
| 1881133643 | Silke Hoosier | Individual | Family Nurse Practitioner | Kimball, TN |
Verify this record
Cross-check NPI 1518171040 against the authoritative CMS record: view Sequatchie Valley Primary Care 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 a Type 2 NPI?
What type of organization is Sequatchie Valley Primary Care?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-05.