NPIMap

Organization Active NPI

Fall Creek Medical Management, P.C.

  • Family Medicine Physician
  • Cookeville, TN
National Provider Identifier
1568798635
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FALL CREEK MEDICAL MANAGEMENT, P.C.
Practice address
120 Walnut Commons LN
Ste D
Cookeville, TN 38501-6035
Phone
(931) 520-8104
Fax
(931) 525-6107
NPI assigned
Oct 26, 2009
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Lisabeth Smolenski
Title
Owner
Phone
(615) 503-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

120 Walnut Commons LN
Ste D
Cookeville, TN 38501-6035

Mailing address

PO Box 1226
Franklin, TN 37065-1226
Phone (615) 591-2777

National Provider Directory

National Provider Directory

Locations

480 Neal St
Ste 101
Cookeville, TN 38501
Phone (931) 520-8104

5226 Main St
Ste D
Spring Hill, TN 37174
Phone (615) 302-3637

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1568798635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1226",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370651226",
            "telephone_number": "615-591-2777",
            "fax_number": "615-591-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WALNUT COMMONS LN",
            "address_2": "STE D",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385016035",
            "telephone_number": "931-520-8104",
            "fax_number": "931-525-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALL CREEK MEDICAL MANAGEMENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "SMOLENSKI",
        "authorized_official_first_name": "LISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-503-9000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.