Active NPI
Southstreet Family Medical Center
- Preferred Provider Organization
- Nashville, TN
National Provider Identifier
1164557856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- MD13877
- Legal business name
- SOUTHSTREET FAMILY MEDICAL CENTER
- Practice address
- 2000 Church St
Nashville, TN 37236-4400 - Phone
- (615) 730-3758
- Fax
- (615) 942-7666
- NPI assigned
- Feb 22, 2007
- 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
- SL Lampkin, M.D.
- Title
- Owner
- Phone
- (615) 254-1786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | MD13877 | TN | Primary |
Addresses
Primary practice location
2000 Church St
Nashville, TN 37236-4400
Mailing address
1900 Church St Ste 324
Nashville, TN 37203-2234
Phone (615) 730-3758
National Provider Directory
National Provider DirectoryLocations
1900 Church St
Ste 324
Nashville, TN 37203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659484800000",
"number": "1164557856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 CHURCH ST STE 324",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032234",
"telephone_number": "615-730-3758",
"fax_number": "615-726-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 CHURCH ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372364400",
"telephone_number": "615-730-3758",
"fax_number": "615-942-7666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHSTREET FAMILY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A",
"authorized_official_last_name": "LAMPKIN",
"authorized_official_first_name": "SL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-254-1786",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "TN",
"license": "MD13877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.