Active NPI
Town Center Family Care LLC
- Family Medicine Physician
- Palm Coast, FL
National Provider Identifier
1396918579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME61253
- Legal business name
- TOWN CENTER FAMILY CARE LLC
- Practice address
- 21 Hospital Dr
Ste 290
Palm Coast, FL 32164-2380 - Phone
- (386) 473-7977
- Fax
- (386) 437-7732
- NPI assigned
- Apr 8, 2008
- Last updated
- Mar 7, 2017
- 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. Donnette Williams, MD
- Title
- Owner
- Phone
- (386) 437-7977
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | ME61253 | FL | |
| Family Medicine Physician | 207Q00000X | ME61253 | FL | Primary |
Addresses
Primary practice location
21 Hospital Dr
Ste 290
Palm Coast, FL 32164-2380
Mailing address
PO Box 3123
St Augustine, FL 32085-3123
Phone (904) 824-4990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y81BD | Other | FL | FL BLUE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Palm Coast, FL
- NPI 1013971142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488844800000",
"number": "1396918579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3123",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320853123",
"telephone_number": "904-824-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HOSPITAL DR",
"address_2": "STE 290",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321642380",
"telephone_number": "386-473-7977",
"fax_number": "386-437-7732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN CENTER FAMILY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-08",
"last_updated": "2017-03-07",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DONNETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-437-7977",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "FL",
"license": "ME61253",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME61253",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BLUE",
"identifier": "Y81BD",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Coast, FL
- Karen A. Toppi, M.D.
- Anna Izabela Torres, LMHC
- Total Renal Care, Inc (Preserve Pointe Dialysis)
- Total Renal Care, Inc. (Palm Coast Home Training)
- Total Vision of Palm Coast Inc (Total Vision Eye Health assoc.)
- Emily Marie Townsend, CCC-SLP
- TPM Homemaker & Companion Services
- Arnaldo Francesco Trabucco, M.D.
- Thinh D Tran
- Vivienne Hao Tran, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.