Organization Active NPI

Shelbyville Hospital Company LLC

Doing business as Tennova Family Care-Main Street

  • Family Medicine Physician
  • Shelbyville, TN
National Provider Identifier
1619496197
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHELBYVILLE HOSPITAL COMPANY LLC
Doing business as
Tennova Family Care-Main Street
Practice address
1612 N Main St Ste B
Shelbyville, TN 37160-2392
Phone
(931) 685-2022
NPI assigned
Sep 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
James Patrick Wright
Title
VP Physician Business Services
Phone
(615) 778-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1612 N Main St Ste B
Shelbyville, TN 37160-2392

Mailing address

4000 Meridian Blvd
Franklin, TN 37067-6325

Other names 1

  • Tennova Family Care-Main Street Doing business as

National Provider Directory

National Provider Directory

Locations

1401 Madison St
Shelbyville, TN 37160
Phone (931) 294-8464

112 Airport Business Park Dr
Ste E
Shelbyville, TN 37160
Phone (931) 680-1927

2839 Highway 231 N
Ste 101
Shelbyville, TN 37160
Phone (931) 488-4014

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1619496197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MERIDIAN BLVD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 N MAIN ST STE B",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602392",
            "telephone_number": "931-685-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE HOSPITAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "VP PHYSICIAN BUSINESS SERVICES",
        "authorized_official_telephone_number": "615-778-1502"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennova Family Care-Main Street",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tennova Family Care-Main Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.