Active NPI
FCM-MTC Medical LLC
- Prison Health Clinic/Center
- Nashville, TN
National Provider Identifier
1730207291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prison Health Clinic/Center
- Legal business name
- FCM-MTC MEDICAL LLC
- Doing business as
- First Medical Management
- Practice address
- 95 White Bridge Rd
Suite 219
Nashville, TN 37205-1497 - Phone
- (615) 356-1666
- Fax
- (888) 239-5081
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roberta Rainey Frances Burns, M.D.
- Title
- State Medical Director
- Phone
- (615) 356-1666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | TN | Primary |
Addresses
Primary practice location
95 White Bridge Rd
Suite 219
Nashville, TN 37205-1497
Mailing address
95 White Bridge Rd
Suite 219
Nashville, TN 37205-1497
Phone (615) 356-1666
Other names 1
- First Medical Management
National Provider Directory
National Provider DirectoryLocations
95 White Bridge Pike
Ste 219
Nashville, TN 37205
Phone (615) 356-1666
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437292620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218412800000",
"number": "1730207291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 WHITE BRIDGE RD",
"address_2": "SUITE 219",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372051497",
"telephone_number": "615-356-1666",
"fax_number": "888-239-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 WHITE BRIDGE RD",
"address_2": "SUITE 219",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372051497",
"telephone_number": "615-356-1666",
"fax_number": "888-239-5081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FCM-MTC MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2008-08-11",
"status": "A",
"authorized_official_last_name": "BURNS",
"authorized_official_first_name": "ROBERTA",
"authorized_official_middle_name": "RAINEY FRANCES",
"authorized_official_title_or_position": "STATE MEDICAL DIRECTOR",
"authorized_official_telephone_number": "615-356-1666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Prison Health",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "First Medical Management",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.