Family Practice of Corryton

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY PRACTICE OF CORRYTON

Practice address

7701 Corryton Rd
Corryton, TN 37721-2630

Phone

(865) 247-6263

Fax

(865) 992-8103

NPI assigned

Jul 14, 2017

Last updated

Jul 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim M Daugherty

Title

Office Manager

Phone

(865) 992-3031

Specialties & licenses 1

Addresses

Locations

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.

• Nick Rohit Patel, M.D.

  • Family Medicine Physician
  • Bluefield, VA
  • NPI 1851559454
  NPD

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499990400000",
    "number": "1245752997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377210088",
            "telephone_number": "865-992-3031",
            "fax_number": "865-992-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 CORRYTON RD",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377212630",
            "telephone_number": "865-247-6263",
            "fax_number": "865-992-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE OF CORRYTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-992-3031"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dison, COTA/L
• Eugene Wayne Dupas Jr.
• Jordan L Dyer, FNP
• Nicole D Dykes
• Family Medical Care Center, LLC
• Farmer Practice LLC (Family Practice of Corryton)
• Fast Pace Medical Clinic PLLC
• Kathie Ford
• Gibbs Family Practice, LLC
• Kendall Gigliotti, LMSW

• Family Medicine Physician in Corryton, TN
• Providers in Corryton, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; 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.