Organization Active NPI

Manchester Family Healthcare

  • Family Medicine Physician
  • Manchester, TN
National Provider Identifier
1669098570
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MANCHESTER FAMILY HEALTHCARE
Practice address
804 Keylon St Ste B
Manchester, TN 37355-2414
Phone
(931) 728-5522
NPI assigned
Jun 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Lorri McGowan
Title
Owner
Phone
(931) 728-5522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

804 Keylon St Ste B
Manchester, TN 37355-2414

Mailing address

804 Keylon St Ste B
Manchester, TN 37355-2414
Phone (931) 728-5522

National Provider Directory

National Provider Directory

Locations

804 Keylon St
#B
Manchester, TN 37355
Phone (931) 728-5522

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1669098570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 KEYLON ST STE B",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552414",
            "telephone_number": "931-728-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 KEYLON ST STE B",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552414",
            "telephone_number": "931-728-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "LORRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-728-5522"
    },
    "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 Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.