NPIMap

Organization Active NPI

Family Care Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Franklin, TN
National Provider Identifier
1124756085
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FAMILY CARE CENTER, LLC
Practice address
5030 Carothers Parkway
Suite 120
Franklin, TN 37067
Phone
(719) 540-2100
NPI assigned
Aug 9, 2022
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Christian M Ellis
Title
Provider Engagement & Credentialing
Phone
(719) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5030 Carothers Parkway
Suite 120
Franklin, TN 37067

Mailing address

2860 South Circle Road
Suite 109
Colorado Springs, CO 80906
Phone (719) 540-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230501001893 TN Part B Supplier - Clinic/Group Practice 5991064420 Receives reassigned benefits from 208 practitioners
Practice locations: Spring Hill, TN; Smyrna, TN; Nashville, TN; Hendersonville, TN; Murfreesboro, TN; Mt Juliet, TN; Knoxville, TN; Memphis, TN…

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

105 Continental Pl
Brentwood, TN 37027

5030 Carothers Pkwy
Franklin, TN 37067

1400 Dowell Springs Blvd
Knoxville, TN 37909
Phone (615) 419-9146

820 N Mount Juliet Rd
Ste 220
Mt Juliet, TN 37122
Phone (310) 429-1833

275 Robert Rose Dr
Murfreesboro, TN 37129
Phone (615) 295-8272

275 Robert Rose Dr
Bldg B
Murfreesboro, TN 37129
Phone (414) 628-5782

500 28th Ave N
Nashville, TN 37209
Phone (615) 208-2908

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 211

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.

View all 211

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1124756085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 SOUTH CIRCLE ROAD",
            "address_2": "SUITE 109",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-540-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CAROTHERS PARKWAY",
            "address_2": "SUITE 120",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "719-540-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER ENGAGEMENT & CREDENTIALING",
        "authorized_official_telephone_number": "719-540-2100"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.