Active NPI
Family Care Group PC
- Family Medicine Physician
- Bartlett, TN
National Provider Identifier
1114970258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY CARE GROUP PC
- Practice address
- 6555 Stage Rd
Suite 1
Bartlett, TN 38134-2810 - Phone
- (901) 377-3475
- Fax
- (901) 377-8068
- NPI assigned
- May 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gisele Allen Goff, MD
- Title
- President/Ceo
- Phone
- (901) 377-3475
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6555 Stage Rd
Suite 1
Bartlett, TN 38134-2810
Mailing address
PO Box 102906
Atlanta, GA 30368-2906
Phone (901) 377-3475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31671970 | Other | TN | BLUE CROSS GROUP PROVIDER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Rossville, TN
- NPI 1942324470
Family Medicine
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1760591523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114970258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102906",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682906",
"telephone_number": "901-377-3475",
"fax_number": "901-377-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6555 STAGE RD",
"address_2": "SUITE 1",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381342810",
"telephone_number": "901-377-3475",
"fax_number": "901-377-8068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOFF",
"authorized_official_first_name": "GISELE",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "901-377-3475",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP PROVIDER",
"identifier": "31671970",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.