NPIMap

Organization Active NPI

Montgomery Family Health Center Inc

Doing business as Montgomery Family Health Center

  • Family Nurse Practitioner
  • Middleton, TN
National Provider Identifier
1215144282
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000005776 Issued in TN
Legal business name
MONTGOMERY FAMILY HEALTH CENTER INC
Doing business as
Montgomery Family Health Center
Practice address
727 S, Main Street
Middleton, TN 38052
Phone
(731) 376-2804
Fax
(731) 376-2806
NPI assigned
May 17, 2007
Last updated
Oct 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Mrs. Charlotte Montgomery, APNNPI 1164404166
Title
Owner
Phone
(731) 376-2804

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)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000005776 TN Primary

Addresses

Primary practice location

727 S, Main Street
Middleton, TN 38052

Mailing address

727 S, Main Street
Middleton, TN 38052
Phone (731) 376-2804

Other identifiers 1

IdentifierTypeStateIssuer
3728789MedicaidTN

Other names 1

  • Montgomery Family Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

727 S Main St
Middleton, TN 38052
Phone (731) 376-2804

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1215144282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S, MAIN STREET",
            "city": "MIDDLETON",
            "state": "TN",
            "postal_code": "38052",
            "telephone_number": "731-376-2804",
            "fax_number": "731-376-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S, MAIN STREET",
            "city": "MIDDLETON",
            "state": "TN",
            "postal_code": "38052",
            "telephone_number": "731-376-2804",
            "fax_number": "731-376-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY FAMILY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-376-2804",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000005776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3728789",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.