Organization Active NPI

Centers for Family Medicine, PC

  • Internal Medicine Physician
  • Hermitage, TN
National Provider Identifier
1639482292
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BM7363447 Issued in TN
Legal business name
CENTERS FOR FAMILY MEDICINE, PC
Practice address
5114 Old Hickory Blvd
Suite 201
Hermitage, TN 37076-2589
Phone
(615) 889-6080
Fax
(615) 884-0370
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Mrs. Joyce A Hilt
Title
Secretary
Phone
(615) 889-6080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X BM7363447 TN Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X DPM230 TN

Addresses

Primary practice location

5114 Old Hickory Blvd
Suite 201
Hermitage, TN 37076-2589

Mailing address

5114 Old Hickory Blvd
Suite 201
Hermitage, TN 37076-2589
Phone (615) 889-6080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1639482292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 OLD HICKORY BLVD",
            "address_2": "SUITE 201",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762589",
            "telephone_number": "615-889-6080",
            "fax_number": "615-884-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 OLD HICKORY BLVD",
            "address_2": "SUITE 201",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762589",
            "telephone_number": "615-889-6080",
            "fax_number": "615-884-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERS FOR FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "HILT",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-889-6080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "BM7363447",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.