NPIMap

Organization Active NPI

Tazewell Family Physicans, PC

  • Primary Care Clinic/Center
  • Tazewell, VA
National Provider Identifier
1376548461
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101030214 Issued in VA
Legal business name
TAZEWELL FAMILY PHYSICANS, PC
Practice address
123 Ben Bolt Ave
Tazewell, VA 24651-9700
Phone
(276) 988-2526
Fax
(276) 988-0956
NPI assigned
Jun 16, 2005
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
Susan H Mackey
Title
Office Manager
Phone
(276) 988-2526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0101030214 VA Primary

Addresses

Primary practice location

123 Ben Bolt Ave
Tazewell, VA 24651-9700

Mailing address

PO Box 645
Tazewell, VA 24651-0645
Phone (276) 988-2526

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376548461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246510645",
            "telephone_number": "276-988-2526",
            "fax_number": "276-988-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246519700",
            "telephone_number": "276-988-2526",
            "fax_number": "276-988-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAZEWELL FAMILY PHYSICANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "276-988-2526"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101030214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, VA

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.