Organization Active NPI

Decatur County Family Practice PC

  • Family Medicine Physician
  • Parsons, TN
National Provider Identifier
1114027018
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23682 Issued in TN
Legal business name
DECATUR COUNTY FAMILY PRACTICE PC
Practice address
190 University Ave
Parsons, TN 38363-2972
Phone
(731) 847-6010
Fax
(731) 847-6011
NPI assigned
Sep 22, 2006
Last updated
Jun 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Dr. Joseph H Montgomery, M.D.NPI 1760479836
Title
Owner
Phone
(731) 847-6010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23682 TN Primary

Addresses

Primary practice location

190 University Ave
Parsons, TN 38363-2972

Mailing address

190 University Ave
PO Box 278
Parsons, TN 38363-2972
Phone (731) 847-6010

Other identifiers 1

IdentifierTypeStateIssuer
3735206MedicaidTN

National Provider Directory

National Provider Directory

Locations

103 Price St
Parsons, TN 38363
Phone (731) 847-6010

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1114027018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 UNIVERSITY AVE",
            "address_2": "PO BOX 278",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383632972",
            "telephone_number": "731-847-6010",
            "fax_number": "731-847-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 UNIVERSITY AVE",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383632972",
            "telephone_number": "731-847-6010",
            "fax_number": "731-847-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR COUNTY FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-847-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "23682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3735206",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.