Southern Family Practice Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SOUTHERN FAMILY PRACTICE INC

Practice address

124 N Jefferson St
Ripley, TN 38063-1522

Phone

(731) 612-2804

NPI assigned

Aug 10, 2020

Last updated

Aug 10, 2020By 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

Patti Jones, NPNPI 1902193675

Title

FNP/Owner

Phone

(731) 612-2804

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22240/brand/1/csg/1/fhir/r4

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.

• Patti Cagle Jones, FNP

  • Family Nurse Practitioner
  • Ripley, TN
  • NPI 1902193675
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1316558869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 CURVE NANKIPOO RD",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380637524",
            "telephone_number": "731-612-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N JEFFERSON ST",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380631522",
            "telephone_number": "731-612-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "731-612-2804",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Dianne Scott
• SCPG Tennessee LLC (Express Rx of Ripley)
• Second Step Inc.
• Sheena Marie Simmons, LADAC
• Virginia C Smith, FNP
• Percy Joe Stanfield, D.C.
• Suzette Carroll Stanley, RN APN FNP-BC
• State of Tennessee
• Austin Swain, O.D.
• Syed a a Zaidi, MD, PLLC

• Nurse Practitioner in Ripley, TN
• Providers in Ripley, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.