Organization Active NPI

Family Care, P.C.

  • Family Medicine Physician
  • Dyersburg, TN
National Provider Identifier
1487788501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY CARE, P.C.
Practice address
1716 Parr Ave Ste D
Dyersburg, TN 38024-2074
Phone
(731) 288-0911
Fax
(731) 288-0065
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Doreen Feldhouse, MD
Title
President
Phone
(731) 288-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1716 Parr Ave Ste D
Dyersburg, TN 38024-2074

Mailing address

PO Box 688
1716 Parr Avenue, Suite D
Dyersburg, TN 38025-0688
Phone (731) 288-0911

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487788501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "address_2": "1716 PARR AVENUE, SUITE D",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380250688",
            "telephone_number": "731-288-0911",
            "fax_number": "731-288-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 PARR AVE STE D",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380242074",
            "telephone_number": "731-288-0911",
            "fax_number": "731-288-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELDHOUSE",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-288-0911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • 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.