Smith County Family Care, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SMITH COUNTY FAMILY CARE, P.C.

Practice address

8 New Middleton Hwy
Suite a
Gordonsville, TN 38563-6516

Phone

(615) 683-3400

Fax

(615) 683-3402

NPI assigned

May 11, 2006

Last updated

Apr 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew B Kingsbauer, D.O.

Title

President

Phone

(615) 683-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1710937487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 NEW MIDDLETON HWY",
            "address_2": "STE A",
            "city": "GORDONSVILLE",
            "state": "TN",
            "postal_code": "385636516",
            "telephone_number": "615-683-3400",
            "fax_number": "615-683-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NEW MIDDLETON HWY",
            "address_2": "SUITE A",
            "city": "GORDONSVILLE",
            "state": "TN",
            "postal_code": "385636516",
            "telephone_number": "615-683-3400",
            "fax_number": "615-683-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH COUNTY FAMILY CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "KINGSBAUER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-683-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3726378",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Becky Lynn Roney
• Karen L Sexton, PA-C
• Leslie Renae Sharpe, DPT
• Bobby Show
• Anna Catherine Sircy, FNP
• Smith County Family Medical LLC
• Sumner Physician Practices LLC (Highpoint Family Wellness - Gordonsville with Ascension Saint Thomas)
• Dayna L Sykes, LPC, MHSP
• Charli Vaden

• Family Medicine Physician in Gordonsville, TN
• Providers in Gordonsville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.