Active NPI
Lunceford Family Health Center
- Clinic/Center
- Germantown, TN
National Provider Identifier
1164511515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- LUNCEFORD FAMILY HEALTH CENTER
- Practice address
- 1920 Kirby Pkwy
Suite 100
Germantown, TN 38138-3610 - Phone
- (901) 751-9909
- Fax
- (901) 751-0455
- NPI assigned
- Oct 12, 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
- Travis E Lunceford, M.D.
- Title
- President
- Phone
- (901) 791-9909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | TN | Primary |
Addresses
Primary practice location
1920 Kirby Pkwy
Suite 100
Germantown, TN 38138-3610
Mailing address
1920 Kirby Pkwy
Suite 100
Germantown, TN 38138-3610
Phone (901) 751-9909
National Provider Directory
National Provider DirectoryLocations
1920 Kirby Pkwy
Ste 100
Memphis, TN 38138
Phone (901) 751-9909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164511515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 KIRBY PKWY",
"address_2": "SUITE 100",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383610",
"telephone_number": "901-751-9909",
"fax_number": "901-751-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 KIRBY PKWY",
"address_2": "SUITE 100",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383610",
"telephone_number": "901-751-9909",
"fax_number": "901-751-0455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNCEFORD FAMILY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LUNCEFORD",
"authorized_official_first_name": "TRAVIS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-791-9909",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, 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.