Organization Active NPI

Highland Family Clinic

  • Family Medicine Physician
  • Manchester, TN
National Provider Identifier
1003329921
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APN6245 Issued in TN
Legal business name
HIGHLAND FAMILY CLINIC
Practice address
1321 McArthur St Ste B
Manchester, TN 37355-2493
Phone
(931) 723-2265
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathy Highland, APNNPI 1760448203
Title
Owner
Phone
(931) 723-2265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X APN6245 TN Primary

Addresses

Primary practice location

1321 McArthur St Ste B
Manchester, TN 37355-2493

Mailing address

1321 McArthur St Ste B
Manchester, TN 37355-2493
Phone (931) 723-2265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180711002355 TN Part B Supplier - Clinic/Group Practice 3072869684 Receives reassigned benefits from 2 practitioners
Practice locations: Manchester, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2140685Highland Family Clinic PLLC1321 McArthur Street Suite B, Manchester, TN 37355Certificate of waiverNov 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1003329921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MCARTHUR ST STE B",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552493",
            "telephone_number": "931-723-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 MCARTHUR ST STE B",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552493",
            "telephone_number": "931-723-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "HIGHLAND",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-723-2265",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "APN6245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.