Organization Active NPI

Southstreet Family Medical Center

  • Preferred Provider Organization
  • Nashville, TN
National Provider Identifier
1164557856
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
MD13877 Issued in TN
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

Updated by the provider on Aug 3, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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": []
}

Other providers in Nashville, TN

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.

Verify at the official NPI Registry.