Active NPI
Cumberland Family Care PC
- Family Medicine Physician
- Sparta, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CUMBERLAND FAMILY CARE PC
- Practice address
- 457 Vista Dr
Sparta, TN 38583-1360 - Phone
- (931) 738-3383
- Fax
- (931) 738-8911
- NPI assigned
- Feb 17, 2006
- Last updated
- Jul 1, 2016
- 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
- Mischelle Lynn Ferrell, MHA
- Title
- Practice Administrator
- Phone
- (931) 738-3383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
457 Vista Dr
Sparta, TN 38583-1360
Mailing address
457 Vista Dr
Sparta, TN 38583-1360
Phone (931) 738-3383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041110000115 | TN | Part B Supplier - Clinic/Group Practice | 8729041835 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment Practice locations: Sparta, TN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Cumberland Family Care Van Buren Clinic
- Family Medicine Physician
- Spencer, TN
- NPI 1184754111
8729041835
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Cumberland Family Care Diabetes Self-Management Out-Patient Program
- Health Service Clinic/Center
- Spencer, TN
- NPI 1679771356
O20041110000115
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0857831 | Cumberland Family Care PC | Provider-performed microscopy | Feb 29, 2028 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/HJBFAD
Practitioners & affiliated clinicians
Practitioners 7
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
- Spencer, TN
- NPI 1639988157
-
- Primary Care Nurse Practitioner
- Sparta, TN
- NPI 1316509334
-
- Medical Physician Assistant
- Sparta, TN
- NPI 1306973425
-
- Nurse Practitioner
- Sparta, TN
- NPI 1740279397
-
- Family Medicine Physician
- Sparta, TN
- NPI 1174512974
-
- Family Nurse Practitioner
- Lebanon, TN
- NPI 1497344014
-
- Family Nurse Practitioner
- Crossville, TN
- NPI 1952744740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467331200000",
"number": "1225003809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 VISTA DR",
"city": "SPARTA",
"state": "TN",
"postal_code": "385831360",
"telephone_number": "931-738-3383",
"fax_number": "931-738-8911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 VISTA DR",
"city": "SPARTA",
"state": "TN",
"postal_code": "385831360",
"telephone_number": "931-738-3383",
"fax_number": "931-738-8911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND FAMILY CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2016-07-01",
"status": "A",
"authorized_official_last_name": "FERRELL",
"authorized_official_first_name": "MISCHELLE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "931-738-3383",
"authorized_official_credential": "MHA"
},
"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 Sparta, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.