Organization Active NPI

Cripps, Hooper & Rhody, PLLC

Doing business as Family Medical Center

  • Family Medicine Physician
  • Smithville, TN
National Provider Identifier
1679677199
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CRIPPS, HOOPER & RHODY, PLLC
Doing business as
Family Medical Center
Practice address
302 N Congress Blvd
Smithville, TN 37166-2704
Phone
(615) 597-4395
Fax
(615) 597-5075
NPI assigned
Sep 13, 2006
Last updated
Oct 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Mrs. Michiko Martin
Title
Office Manager
Phone
(615) 597-4395

Specialties & licenses 1

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

Addresses

Primary practice location

302 N Congress Blvd
Smithville, TN 37166-2704

Mailing address

302 N Congress Blvd
Smithville, TN 37166-2704
Phone (615) 597-4395

Other identifiers 2

IdentifierTypeStateIssuer
3724068MedicaidTN
44D0678624OtherTNCLIA NUMBER

Other names 1

  • Family Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1679677199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N CONGRESS BLVD",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662704",
            "telephone_number": "615-597-4395",
            "fax_number": "615-597-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N CONGRESS BLVD",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662704",
            "telephone_number": "615-597-4395",
            "fax_number": "615-597-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIPPS, HOOPER & RHODY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MICHIKO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-597-4395",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3724068",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "44D0678624",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.