TLC Family Care PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TLC FAMILY CARE PC

Practice address

705 Howell St
Sparta, TN 38583-1008

Phone

(931) 739-0048

Fax

(931) 739-0047

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Doug Dodson

Title

Office Manager

Phone

(931) 739-0048

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristy D Dodson, FNP-BC

  • Nurse Practitioner
  • Sparta, TN
  • NPI 1619860202
  Medicare reassignment Care Compare group NPD
• Mollie Dodson, MD

  • Internal Medicine Physician
  • Sparta, TN
  • NPI 1760486112
  Medicare reassignment Care Compare group NPD
• Jeanne Kay Thompson, FNP-BC

  • Family Nurse Practitioner
  • Sparta, TN
  • NPI 1154832459
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1164649356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 HOWELL ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831008",
            "telephone_number": "931-739-0048",
            "fax_number": "931-739-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 HOWELL ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831008",
            "telephone_number": "931-739-0048",
            "fax_number": "931-739-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC FAMILY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-739-0048"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732621",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Deon Taylor, LPC
• Cassie Morgan Taylor, COTA/L
• Cherri Dawn Taylor, EMT-P
• Jeanne Kay Thompson, FNP-BC
• Kayla Pellar Thyng
• Top Flight Medical Group LLC
• Total Renal Care Inc (Sparta Dialysis)
• True Care Personal Support Services, LLC
• Diana Jo Turner, FNP
• William Justin Turner, PHARMD

• Internal Medicine Physician in Sparta, TN
• Providers in Sparta, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.