1 TEAM CLINIC LLC — NPI 1578000410 (Licensed & Credentialed Nurse Practitioner, Family in MIDWAY, TN)

Plain-English Taxonomy Translation (363LF0000X)

What Does Taxonomy Code 363LF0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates in plain language to:
"Licensed & Credentialed Nurse Practitioner, Family"

Primary Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
When Patients Should Consult: Consult a verified Nurse Practitioner, Family for specialized diagnostic evaluation, treatment planning, and continuity of care.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 1 TEAM CLINIC LLC:

High-Volume Clinical Procedures & Diagnostics:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic & Prescribing Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1578000410 (NPI-2 Organization / Facility)
Provider / Legal Name	1 TEAM CLINIC LLC
Plain-English Specialty	Licensed & Credentialed Nurse Practitioner, Family NUCC Code: `363LF0000X` (Nurse Practitioner, Family)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	199 POTTERTOWN RD, MIDWAY, TN, 378093213
Practice Telephone / Fax	Tel: 423-422-4454
Administrative Mailing Address	PO BOX 416, GREENEVILLE, TN, 377440416
Enumeration & Last Sync	Enumerated: 2017-01-31 \| Updated: 2017-01-31
Authorized Official	CHARLES DOTY (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

199 POTTERTOWN RD, MIDWAY, TN, 378093213

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ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LF0000X` — Nurse Practitioner, Family Plain English: Licensed & Credentialed Nurse Practitioner, Family	State: TN \| License: 1043217352 \| Primary Taxonomy: Yes

1 TEAM CLINIC LLC (NPI #1578000410)