Coleman Family Care, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

14154 Issued in TN

Legal business name

COLEMAN FAMILY CARE, INC

Practice address

9437 Highway 70 East
McEwen, TN 37101-4859

Phone

(931) 582-8820

Fax

(931) 582-8970

NPI assigned

Jul 13, 2009

Organization subpart

No

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

Authorized official

Name

Juelda Coleman

Title

Owner

Phone

(931) 582-8820

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COLEMAN FAMILY CARE CLINIC Doing business as

Locations

Practitioners 1

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

• Katherine Stilley, NP-C

  • Family Nurse Practitioner
  • MC Ewen, TN
  • NPI 1104169788
  NPD (past)

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1013146992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9437 HIGHWAY 70 EAST",
            "city": "MC EWEN",
            "state": "TN",
            "postal_code": "371014859",
            "telephone_number": "931-582-8820",
            "fax_number": "931-582-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9437 HIGHWAY 70 EAST",
            "city": "MCEWEN",
            "state": "TN",
            "postal_code": "371014859",
            "telephone_number": "931-582-8820",
            "fax_number": "931-582-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN FAMILY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JUELDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-582-8820"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "14154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515234",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLEMAN FAMILY CARE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• WM. B. Clement Sr., DPH
• Rachel Leigh Donegan, PHARMD
• McEwen Dental Associates
• McEwen Family Clinic PLLC
• McEwen Medical LLC
• Brittany Sue Waggoner, CLC

• Clinic/Center in McEwen, TN
• Providers in McEwen, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.