Active NPI
Motley Family Medical PLLC
- Family Medicine Physician
- Smyrna, TN
National Provider Identifier
1467015180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MOTLEY FAMILY MEDICAL PLLC
- Doing business as
- Motley Family Medical PLLC
- Practice address
- 301 Wolverine TRL Ste 201
Smyrna, TN 37167-5656 - Phone
- (615) 768-5511
- Fax
- (615) 768-5519
- NPI assigned
- Apr 18, 2019
- 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
- Lucinda Motley, FNP-C
- Title
- Owner
- Phone
- (615) 768-5511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
301 Wolverine TRL Ste 201
Smyrna, TN 37167-5656
Mailing address
301 Wolverine TRL Ste 201
Smyrna, TN 37167-5656
Phone (615) 768-5511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1523655 | Medicaid | TN |
Other names 1
- Motley Family Medical PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2165769 | Motley Family Medical PLLC | Certificate of waiver | May 5, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Smyrna, TN
- NPI 1417198292
-
- Nurse Practitioner
- Smyrna, TN
- NPI 1063111029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562025600000",
"number": "1467015180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 WOLVERINE TRL STE 201",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675656",
"telephone_number": "615-768-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 WOLVERINE TRL STE 201",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675656",
"telephone_number": "615-768-5511",
"fax_number": "615-768-5519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOTLEY FAMILY MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-18",
"last_updated": "2019-07-02",
"status": "A",
"authorized_official_last_name": "MOTLEY",
"authorized_official_first_name": "LUCINDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-768-5511",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1523655",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Motley Family Medical PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.