Fentress Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FENTRESS FAMILY PRACTICE PLLC

Doing business as

Fentress Family Practice

Practice address

101 S Duncan St
Jamestown, TN 38556-9999

Phone

(931) 879-4645

Fax

(931) 879-2606

NPI assigned

Feb 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Allen Clapp, M.D.

Title

Owner Physician

Phone

(931) 879-4645

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fentress Family Practice Doing business as

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467592774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385560965",
            "telephone_number": "931-879-4645",
            "fax_number": "931-879-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S DUNCAN ST",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385569999",
            "telephone_number": "931-879-4645",
            "fax_number": "931-879-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTRESS FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLAPP",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "931-879-4645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3714535",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fentress Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fast Pace Medical Clinic PLLC
• Fast Pace Medical Clinic PLLC
• Fentress County (Fentress County Ambulance Service)
• Fentress County Board of Education
• Fentress Family Care LLC (Jamestown Family Care Clinic)
• Fentress Health Systems, LLC
• Katy Lynn Flowers, F.N.P.
• William Flowers, FNP-C
• Sheila Ann Foy
• Adam Gaudette, DC

• Family Medicine Physician in Jamestown, TN
• Providers in Jamestown, TN by specialty
• Family Medicine Physician in Tennessee

• 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.