Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Primary Care Clinic of Gibson County, PLLC

Organization Family Medicine Physician · NPI 1174520829

Primary Care Clinic of Gibson County, PLLC provides Family Medicine Physician services in Trenton, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 Hospital Dr
Trenton, TN 38382-3321 Not confirmed with CMS for 15 years — call before visiting
Phone: (731) 855-3510
Fax: (731) 855-1387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3704891 (TN)

Record details

NPI number1174520829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James William — Md · (731) 855-3510
Other names Primary Care Center
NPI enumeratedJuly 7, 2005
Last updated in NPPESJuly 14, 2011
Mailing address500 Hospital Dr, Trenton, TN 38382-3321

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