Active NPI
Father and Son Family Medicine Clinic, PLLC
- Family Medicine Physician
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2681
- Legal business name
- FATHER AND SON FAMILY MEDICINE CLINIC, PLLC
- Practice address
- 315 N Washington Ave
Cookeville, TN 38501-2603 - Phone
- (931) 644-2061
- NPI assigned
- Apr 16, 2015
- Last updated
- Apr 16, 2015
- 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
- Dr. Colin G Smith, DO
- Title
- Physician
- Phone
- (931) 644-2061
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2681 | TN | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | XS4690043 | TN |
Addresses
Primary practice location
315 N Washington Ave
Cookeville, TN 38501-2603
Mailing address
315 N Washington Ave
Cookeville, TN 38501-2603
Phone (931) 644-2061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
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 |
|---|---|---|---|
| 44D2096547 | Father and Son Family Medicine Clinic | Certificate of waiver | May 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
315 N Washington Ave
Ste 210
Cookeville, TN 38501
Phone (931) 526-7171
Practitioners & affiliated clinicians
Practitioners 2
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
- Cookeville, TN
- NPI 1215223292
-
- General Practice Physician
- Cookeville, TN
- NPI 1497715767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429142400000",
"number": "1316334428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N WASHINGTON AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012603",
"telephone_number": "931-644-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N WASHINGTON AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012603",
"telephone_number": "931-644-2061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FATHER AND SON FAMILY MEDICINE CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-16",
"last_updated": "2015-04-16",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "COLIN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "931-644-2061",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "2681",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "TN",
"license": "XS4690043",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.