Active NPI
Rickman Family Medical Clinic
- Family Medicine Physician
- Rickman, TN
National Provider Identifier
1609064575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RICKMAN FAMILY MEDICAL CLINIC
- Practice address
- 2546 Windle Community Rd
Rickman, TN 38580 - Phone
- (931) 498-4880
- Fax
- (931) 498-4882
- NPI assigned
- Oct 4, 2007
- Last updated
- Oct 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James C Nelson Jr., M.D.
- Title
- Owner
- Phone
- (931) 498-4880
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2546 Windle Community Rd
Rickman, TN 38580
Mailing address
2546 Windle Community Rd
Rickman, TN 38580-0347
Phone (931) 498-4880
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/9883/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Rickman, TN
- NPI 1194796326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191542400000",
"number": "1609064575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2546 WINDLE COMMUNITY RD",
"city": "RICKMAN",
"state": "TN",
"postal_code": "385800347",
"telephone_number": "931-498-4880",
"fax_number": "931-498-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2546 WINDLE COMMUNITY RD",
"city": "RICKMAN",
"state": "TN",
"postal_code": "38580",
"telephone_number": "931-498-4880",
"fax_number": "931-498-4882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICKMAN FAMILY MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-04",
"last_updated": "2007-10-05",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "931-498-4880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"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 Rickman, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.