First Choice Medical Care of Medina, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

RN33929 Issued in TN

Legal business name

FIRST CHOICE MEDICAL CARE OF MEDINA, INC.

Practice address

605 Hwy 45 East
Medina, TN 38355

Phone

(731) 267-0239

NPI assigned

Nov 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Betty Roe, FNP

Title

Owner

Phone

(731) 267-0239

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1417102906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HWY 45 EAST",
            "address_2": "P.O. BOX 159",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "38355",
            "telephone_number": "731-267-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HWY 45 EAST",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "38355",
            "telephone_number": "731-267-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE MEDICAL CARE OF MEDINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-267-0239",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "RN33929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun Barrios, PT
• Jordan Baudo
• Christian Care Center of Milan, LLC (Christian Care Center of Medina)
• Joshua Aaron Exline, OTR/L
• Morgan Leigh Fields
• Fuller Home Solutions LLC.
• Griffin Brent Gallimore, DDS
• Sonya Carol Goodrich, LCSW
• Whitney L Gower, BCHC
• Ty Green, DDS

• Primary Care Clinic/Center in Medina, TN
• Providers in Medina, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.