Northfield Family Practice PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHFIELD FAMILY PRACTICE PC

Practice address

6001 Jackson Square Blvd Ste 100
La Vergne, TN 37086-2776

Phone

(615) 793-9900

Fax

(615) 939-9990

NPI assigned

Apr 15, 2008

Last updated

Dec 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tina M Pettit

Title

Office Manager/Ao

Phone

(615) 793-9900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Moses Andre Swauncy, MD

  • Family Medicine Physician
  • Smyrna, TN
  • NPI 1568415164
  Medicare reassignment NPD
• Anita Rochelle Pinkston, PA-C

  • Medical Physician Assistant
  • Murfreesboro, TN
  • NPI 1730268319
  Medicare reassignment

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1093989691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370860057",
            "telephone_number": "615-793-9900",
            "fax_number": "615-793-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 JACKSON SQUARE BLVD STE 100",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370862776",
            "telephone_number": "615-793-9900",
            "fax_number": "615-939-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHFIELD FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER/AO",
        "authorized_official_telephone_number": "615-793-9900"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samuel Olukunle Oluwole
• Obianuju Nwanneka Onyekwere
• Janet Osborne

• Family Medicine Physician in La Vergne, TN
• Providers in La Vergne, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.