Organization Active NPI

Tennessee Family Solutions, Inc

  • Adult Medicine Physician
  • Smyrna, TN
National Provider Identifier
1184196990
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
TENNESSEE FAMILY SOLUTIONS, INC
Practice address
831 Seven Oaks Blvd
Smyrna, TN 37167-6485
Phone
(615) 904-6033
NPI assigned
Dec 19, 2018
Organization subpart
Yes
Parent organization
TENNESSEE FAMILY SOLUTIONS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Ralph Marshall Kennedy
Title
President/Executive Director
Phone
(615) 255-8870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

831 Seven Oaks Blvd
Smyrna, TN 37167-6485

Mailing address

831 Seven Oaks Blvd
Smyrna, TN 37167-6485
Phone (615) 904-6033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190410001344 TN Part B Supplier - Clinic/Group Practice 6507107083 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Smyrna, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Tennessee Family Solutions Inc

Locations

831 Seven Oaks Blvd
Ste 1
Smyrna, TN 37167

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1184196990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 SEVEN OAKS BLVD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676485",
            "telephone_number": "615-904-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 SEVEN OAKS BLVD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676485",
            "telephone_number": "615-904-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE FAMILY SOLUTIONS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENNESSEE FAMILY SOLUTIONS, INC",
        "enumeration_date": "2018-12-19",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-255-8870"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.