Gallatin Family Practice Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29196 Issued in TN

Legal business name

GALLATIN FAMILY PRACTICE CENTER INC

Practice address

608 Commons Dr
Suite a
Gallatin, TN 37066-6317

Phone

(615) 452-5901

Fax

(615) 451-2006

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Subir Guha, MD

Title

Owner

Phone

(615) 452-5901

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1144325044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1017",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370661017",
            "telephone_number": "615-452-5901",
            "fax_number": "615-451-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 COMMONS DR",
            "address_2": "SUITE A",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666317",
            "telephone_number": "615-452-5901",
            "fax_number": "615-451-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLATIN FAMILY PRACTICE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "GUHA",
        "authorized_official_first_name": "SUBIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-452-5901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "29196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3728606",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Gallatin, TN
• Providers in Gallatin, 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 Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.