Organization Active NPI

Family Healthcare Associates of Greenbrier

  • Family Medicine Physician
  • Greenbrier, TN
National Provider Identifier
1114071396
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY HEALTHCARE ASSOCIATES OF GREENBRIER
Practice address
2557 Highway 41 S
Greenbrier, TN 37073-5516
Phone
(615) 643-4534
Fax
(615) 643-4537
NPI assigned
Jan 23, 2007
Last updated
Dec 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
David P Sparks, MD
Title
MD
Phone
(615) 643-4534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2557 Highway 41 S
Greenbrier, TN 37073-5516

Mailing address

2557 Highway 41 S
Greenbrier, TN 37073-5516
Phone (615) 643-4534

Other identifiers 1

IdentifierTypeStateIssuer
3719347MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1114071396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 HIGHWAY 41 S",
            "city": "GREENBRIER",
            "state": "TN",
            "postal_code": "370735516",
            "telephone_number": "615-643-4534",
            "fax_number": "615-643-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 HIGHWAY 41 S",
            "city": "GREENBRIER",
            "state": "TN",
            "postal_code": "370735516",
            "telephone_number": "615-643-4534",
            "fax_number": "615-643-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE ASSOCIATES OF GREENBRIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "615-643-4534",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3719347",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrier, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.