=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386567600
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PRIMARY CARE OF BEMIS & ASSOCIATES, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/03/2026
-----------------------------------------------------
Last Update Date | 08/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1385 S HIGHLAND AVE STE B1
-----------------------------------------------------
City | JACKSON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38301-7547
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 731-300-7755
-----------------------------------------------------
Fax | 731-300-0773
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1385 S HIGHLAND AVE STE B1
-----------------------------------------------------
City | JACKSON
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 38301-7547
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 731-300-7755
-----------------------------------------------------
Fax | 731-300-0773
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | DR. JOHN BRILEY
-----------------------------------------------------
Credential | DNP, APRN
-----------------------------------------------------
Telephone | 731-300-7755
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207QG0300X
-----------------------------------------------------
Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------