Active NPI
Sweetwater Family Medicine Inc
- Family Medicine Physician
- Sweetwater, TN
National Provider Identifier
1174561013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SWEETWATER FAMILY MEDICINE INC
- Practice address
- 205 Summit St
Sweetwater, TN 37874-2534 - Phone
- (423) 351-7000
- Fax
- (423) 351-7405
- NPI assigned
- Jun 3, 2006
- Last updated
- Nov 19, 2009
- 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
- Sigrid Rae Johnson, MD
- Title
- President
- Phone
- (423) 351-7000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
205 Summit St
Sweetwater, TN 37874-2534
Mailing address
205 Summit St
Sweetwater, TN 37874-2534
Phone (423) 351-7000
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/25326/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Sweetwater, TN
- NPI 1013956432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258588800000",
"number": "1174561013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SUMMIT ST",
"city": "SWEETWATER",
"state": "TN",
"postal_code": "378742534",
"telephone_number": "423-351-7000",
"fax_number": "423-351-7405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SUMMIT ST",
"city": "SWEETWATER",
"state": "TN",
"postal_code": "378742534",
"telephone_number": "423-351-7000",
"fax_number": "423-351-7405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEETWATER FAMILY MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2009-11-19",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SIGRID",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-351-7000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sweetwater, TN
- Sweetwater Anesthesia LLC
- Sweetwater Chiropractic LLC
- Sweetwater Endodontics PLLC
- Sweetwater Family Dental, PLLC
- Sweetwater Family Eyecare PLLC (Foster Family Eyecare)
- Sweetwater Home for Seniors
- Sweetwater Hospital Association (Sweetwater Hospital Association Rural Health Clinic)
- Sweetwater Hospital Association
- Sweetwater Hospital Association (Sweetwater Physician Group)
- Sweetwater Hospital Association (Sweetwater Hospital Crna Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.