NPIMap

Organization Active NPI

Rutherford County Medical Associates, LLC

Doing business as Jackson Square Family Healthcare

  • Family Medicine Physician
  • La Vergne, TN
National Provider Identifier
1306929005
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RUTHERFORD COUNTY MEDICAL ASSOCIATES, LLC
Doing business as
Jackson Square Family Healthcare
Practice address
6001 Jackson SQ
Suite 100 Family Healthcare
La Vergne, TN 37086
Phone
(615) 793-9900
Fax
(615) 793-9990
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Moses A Swauncy, MDNPI 1568415164
Title
Dr
Phone
(615) 793-9900

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 Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6001 Jackson SQ
Suite 100 Family Healthcare
La Vergne, TN 37086

Mailing address

6001 Jackson Square Blvd
Suite 100
La Vergne, TN 37086-2767
Phone (615) 793-9900

Other names 1

  • Jackson Square Family Healthcare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306929005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 JACKSON SQUARE BLVD",
            "address_2": "SUITE 100",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370862767",
            "telephone_number": "615-793-9900",
            "fax_number": "615-793-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 JACKSON SQ",
            "address_2": "SUITE 100 FAMILY HEALTHCARE",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "37086",
            "telephone_number": "615-793-9900",
            "fax_number": "615-793-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTHERFORD COUNTY MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWAUNCY",
        "authorized_official_first_name": "MOSES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "615-793-9900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Square Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Vergne, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.