Genesis Family Healthcare PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA844 Issued in TN

Legal business name

GENESIS FAMILY HEALTHCARE PLLC

Practice address

2244 Boones Creek Rd
Gray, TN 37615-4432

Phone

(423) 753-4000

Fax

(423) 753-4004

NPI assigned

Feb 2, 2009

Last updated

Jun 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joe K Reid II, PA-C

Title

Owner

Phone

(423) 753-4000

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Borzou Azima, MD

  • Emergency Medicine Physician
  • Johnson City, TN
  • NPI 1447297692
  NPD (past)
• Sonya S Saadati, DO

  • Family Medicine Physician
  • Sunset Beach, NC
  • NPI 1992709679
  NPD (past)

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1154569952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 BOONES CREEK RD",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376154432",
            "telephone_number": "423-753-4000",
            "fax_number": "423-753-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 BOONES CREEK RD",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376154432",
            "telephone_number": "423-753-4000",
            "fax_number": "423-753-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS FAMILY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "REID II",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-753-4000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "PA844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Ferry, MSW
• Mary Frances Filonuk, BA
• Frontier Health
• Frontier Health
• Leigh A Furman, OTR/L
• Joshua Gibson, DPT
• Brandy Goble, MS, MBA, RD, LDN
• Bryon K Grant, A.T.
• Gray Family Clinic PLC
• Gray Family Healthcare PC

• Family Medicine Physician in Gray, TN
• Providers in Gray, 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 Jun 22, 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.