Organization Active NPI

Dresden Family Clinic LLC

  • Family Medicine Physician
  • Dresden, TN
National Provider Identifier
1306271994
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DRESDEN FAMILY CLINIC LLC
Practice address
130 E Locust St
Dresden, TN 38225-1467
Phone
(731) 364-3196
Fax
(731) 364-5359
NPI assigned
Sep 13, 2013
Last updated
Feb 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Kumar P Yogesh, MDNPI 1366430993
Title
MD/Owner
Phone
(731) 364-9905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X
Family Medicine Physician 207Q00000X TN Primary

Addresses

Primary practice location

130 E Locust St
Dresden, TN 38225-1467

Mailing address

PO Box 525
Dresden, TN 38225-0525
Phone (731) 394-9905

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131029001864 TN Part B Supplier - Clinic/Group Practice 8426283441 Receives reassigned benefits from 4 practitioners
Practice locations: Dresden, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2340601Nuvoair Medical-Dresden Family Clinic130 E Locust Street, Dresden, TN 38225Certificate of waiverMar 18, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7804/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1306271994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382250525",
            "telephone_number": "731-394-9905",
            "fax_number": "731-394-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E LOCUST ST",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382251467",
            "telephone_number": "731-364-3196",
            "fax_number": "731-364-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRESDEN FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "YOGESH",
        "authorized_official_first_name": "KUMAR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "731-364-9905",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dresden, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.

Verify at the official NPI Registry.