Organization Active NPI

Family Physicians South LLC

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1497873996
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY PHYSICIANS SOUTH LLC
Practice address
6801 Gray Rd Ste a
Indianapolis, IN 46237-3238
Phone
(317) 787-9471
Fax
(317) 788-4746
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Ms. Ruth Ann Morgan
Title
Office Manager
Phone
31777872644

Specialties & licenses 1

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

Addresses

Primary practice location

6801 Gray Rd Ste a
Indianapolis, IN 46237-3238

Mailing address

6801 Gray Rd Ste a
Indianapolis, IN 46237-3238
Phone (317) 787-9471

Other identifiers 1

IdentifierTypeStateIssuer
2003960000AMedicaidIN

National Provider Directory

National Provider Directory

Locations

6801 Gray Rd
Indianapolis, IN 46237
Phone (317) 787-9471

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1497873996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 GRAY RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373238",
            "telephone_number": "317-787-9471",
            "fax_number": "317-788-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 GRAY RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373238",
            "telephone_number": "317-787-9471",
            "fax_number": "317-788-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "31777872644",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "2003960000A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.