First Family Medical LLC
Organization Active NPI Family Nurse Practitioner · Savannah, TN
NPI 1407022908 · NPPES record last updated May 5, 2008
Key facts
- NPI
- 1407022908
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN0000006809 (TN)
- Legal business name
- FIRST FAMILY MEDICAL LLC
- Practice address
- 1960 Pickwick St
Savannah, TN 38372-5309 - Phone
- (731) 925-8955
- NPI assigned
- May 5, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lisa Marbury, FNP
- Title
- Owner
- Phone
- (731) 925-8955
Practitioners 1
-
Lisa Marbury, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080808000620 | TN | Part B Supplier - Clinic/Group Practice | 5890869861 |
Receives reassigned benefits from 1 practitioner Practice locations: Savannah, TN |
National Provider Directory
Locations
895 Clifton Rd
Savannah, TN 38372
Phone (731) 925-1911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | APN0000006809 | TN | Yes |
Addresses
Primary practice location
1960 Pickwick St
Savannah, TN 38372-5309
Mailing address
1960 Pickwick St
Savannah, TN 38372-5309
Phone (731) 925-8955
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | TN |
Other providers in Savannah, TN
- Family Clinic PLLC
- Family Discount Phy and Wellness Ctr
- Family Home Care Inc
- Fast Pace Medical Clinic PLLC
- Fast Pace Medical Clinic PLLC
- Centras Forney
- Amy C Franks
- Tiffany Franks
- Freds Stores of Tennessee Inc
- John D Freeman
All providers in Savannah, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.