Healthcare Provider Details

I. General information

NPI: 1386567600
Provider Name (Legal Business Name): PRIMARY CARE OF BEMIS & ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1385 S HIGHLAND AVE STE B1
JACKSON TN
38301-7547
US

IV. Provider business mailing address

1385 S HIGHLAND AVE STE B1
JACKSON TN
38301-7547
US

V. Phone/Fax

Practice location:
  • Phone: 731-300-7755
  • Fax: 731-300-0773
Mailing address:
  • Phone: 731-300-7755
  • Fax: 731-300-0773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN BRILEY
Title or Position: MANAGER
Credential: DNP, APRN
Phone: 731-300-7755