Healthcare Provider Details

I. General information

NPI: 1023275286
Provider Name (Legal Business Name): LOCAL CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415A N ROANE ST
HARRIMAN TN
37748-2024
US

IV. Provider business mailing address

415A N ROANE ST
HARRIMAN TN
37748-2024
US

V. Phone/Fax

Practice location:
  • Phone: 865-228-9598
  • Fax:
Mailing address:
  • Phone: 865-228-9598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL DAVIS HOLMES
Title or Position: FNP-NC
Credential: FNP-BC
Phone: 865-228-9598