Organization Active NPI

Lunceford Family Health Center

  • Clinic/Center
  • Germantown, TN
National Provider Identifier
1164511515
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.