NPIMap

Organization Active NPI

Crescent Health Gatlinburg

Doing business as First Med

  • Family Nurse Practitioner
  • Pigeon Forge, TN
National Provider Identifier
1649440348
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TN8475 Issued in TN
Legal business name
CRESCENT HEALTH GATLINBURG
Doing business as
First Med
Practice address
190 Community Center Dr
Suite 103
Pigeon Forge, TN 37863-6251
Phone
(865) 446-4032
Fax
(865) 868-4746
NPI assigned
Mar 10, 2008
Last updated
Nov 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Rhonda D Davis, GM
Title
General Manager
Phone
(865) 446-4032

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AM0700X TN0250 TN
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X TN5198 TN
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X TN8475 TN Primary

Addresses

Primary practice location

190 Community Center Dr
Suite 103
Pigeon Forge, TN 37863-6251

Mailing address

190 Community Center Dr
Suite 103
Pigeon Forge, TN 37863-6251
Phone (865) 446-4032

Other identifiers 1

IdentifierTypeStateIssuer
3388477MedicaidTN

Other names 1

  • First Med Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crescent Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1649440348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 COMMUNITY CENTER DR",
            "address_2": "SUITE 103",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378636251",
            "telephone_number": "865-446-4032",
            "fax_number": "865-868-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 COMMUNITY CENTER DR",
            "address_2": "SUITE 103",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378636251",
            "telephone_number": "865-446-4032",
            "fax_number": "865-868-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT HEALTH GATLINBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "865-446-4032",
        "authorized_official_credential": "GM"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "TN0250",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "TN5198",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "TN8475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3388477",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pigeon Forge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.