Active NPI
Florida Physicians Medical Group, Inc.
- Internal Medicine Physician
- Greeneville, TN
National Provider Identifier
1215980354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FLORIDA PHYSICIANS MEDICAL GROUP, INC.
- Practice address
- 438 E Vann Rd
Suite 200
Greeneville, TN 37743-7202 - Phone
- (423) 278-1704
- Fax
- (423) 278-1832
- NPI assigned
- May 18, 2006
- Last updated
- Feb 26, 2010
- 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
- Mr. Bryan Stiltz
- Title
- President
- Phone
- (407) 200-2700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
438 E Vann Rd
Suite 200
Greeneville, TN 37743-7202
Mailing address
PO Box 538600
Orlando, FL 32853-8600
Phone (407) 200-2700
National Provider Directory
National Provider DirectoryLocations
510 Hospital Dr
Ste 410
Madison, TN 37115
Phone (615) 612-2261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267142400000",
"number": "1215980354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 538600",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328538600",
"telephone_number": "407-200-2700",
"fax_number": "407-200-4904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 E VANN RD",
"address_2": "SUITE 200",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377437202",
"telephone_number": "423-278-1704",
"fax_number": "423-278-1832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA PHYSICIANS MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2010-02-26",
"status": "A",
"authorized_official_last_name": "STILTZ",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-200-2700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.