Organization Active NPI

Mt. Juliet Family Care and Walk-in Clinic, LLC

  • Primary Care Clinic/Center
  • Mt Juliet, TN
National Provider Identifier
1497784631
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MT. JULIET FAMILY CARE AND WALK-IN CLINIC, LLC
Practice address
754 N Mount Juliet Rd
Mt Juliet, TN 37122-3323
Phone
(615) 754-2828
NPI assigned
Jul 1, 2006
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
Jimmy Cheeks
Title
Manager
Phone
(615) 754-2828

Specialties & licenses 1

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

Addresses

Primary practice location

754 N Mount Juliet Rd
Mt Juliet, TN 37122-3323

Mailing address

754 N Mount Juliet Rd
Mt Juliet, TN 37122-3323

National Provider Directory

National Provider Directory

Locations

754 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 754-2828

7297 Sparta Pike
Watertown, TN 37184
Phone (615) 237-0015

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497784631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 N MOUNT JULIET RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 N MOUNT JULIET RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223323",
            "telephone_number": "615-754-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. JULIET FAMILY CARE AND WALK-IN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEEKS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-754-2828"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Juliet, 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.