King Family Medical PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

13621 Issued in TN

Legal business name

KING FAMILY MEDICAL PLLC

Practice address

215B Holly LN
Waverly, TN 37185-3387

Phone

(931) 296-9969

Fax

(931) 296-8100

NPI assigned

Jun 9, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Christie Madge King-Patterson, NP-C

Title

Owner

Phone

(931) 296-9969

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1053547760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371850432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215B HOLLY LN",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371853387",
            "telephone_number": "931-296-9969",
            "fax_number": "931-296-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING FAMILY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "KING-PATTERSON",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "MADGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-296-9969",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "13621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Jones, LMMP
• Joseph B Tarpy
• Bonnie Sue Judd, APN
• Keystone Continuum, LLC
• Anthony Glenn Kimbro, LPC PRE-LICENSE
• Christie Madge King-Patterson, NP-C
• James H King, O.D.
• Ernest Bobby Kleier Jr., MD
• Lawrence Richard Jackson Jr. MD
• Linda Cleo Leonard, RPH

• Primary Care Clinic/Center in Waverly, TN
• Providers in Waverly, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.