OrganizationActive
Lake County Primary Care
NPI 1275873424 · Federally Qualified Health Center (FQHC) · Tiptonville, TN
Provider details
- NPI number
- 1275873424
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carol Guess, Medical Director(731) 253-6690
- License
- 17394 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678
Phone: (731) 253-6690
Fax: (731) 253-6692
Street-level locationGet directions
Mailing address
710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678
Registry dates
- Enumerated
- 2013-02-26
- Last updated
- 2013-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.