Organization Active NPI

Family Medic Primary Healthcare Inc

  • Primary Care Clinic/Center
  • Memphis, TN
National Provider Identifier
1487003950
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FAMILY MEDIC PRIMARY HEALTHCARE INC
Practice address
4395 Stage Rd
Memphis, TN 38128-5708
Phone
(901) 820-4446
Fax
(901) 416-2888
NPI assigned
Jun 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Mr. Michaelantonio Jones II
Title
Ceo
Phone
(901) 820-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4395 Stage Rd
Memphis, TN 38128-5708

Mailing address

PO Box 181262
Memphis, TN 38181-1262
Phone (901) 820-4445

National Provider Directory

National Provider Directory

Locations

4395 Stage Rd
Memphis, TN 38128
Phone (901) 820-4445

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19171/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1487003950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 181262",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381811262",
            "telephone_number": "901-820-4445",
            "fax_number": "901-416-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4395 STAGE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285708",
            "telephone_number": "901-820-4446",
            "fax_number": "901-416-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDIC PRIMARY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAELANTONIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-820-4445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.