Macon Community Family Healthcare Group PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MACON COMMUNITY FAMILY HEALTHCARE GROUP PLLC

Practice address

209 College St
Lafayette, TN 37083-1701

Phone

(615) 666-2056

Fax

(615) 666-3022

NPI assigned

Aug 12, 2021

Organization subpart

No

Locations

Interoperability endpoints

• Direct secure messaging: dr.o@direct.mcfhgpllc.com

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

Authorized official

Name

Dr. Olufemi Odunusi

Title

Ceo

Phone

(615) 666-2056

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1740955673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 COLLEGE ST",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831701",
            "telephone_number": "615-666-2056",
            "fax_number": "615-666-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 COLLEGE ST",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831701",
            "telephone_number": "615-666-2056",
            "fax_number": "615-666-3022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "256 Market St",
            "address_purpose": "LOCATION",
            "city": "Red Boiling Springs",
            "state": "TN",
            "postal_code": "371502221",
            "country_code": "US",
            "telephone_number": "615-699-2056",
            "fax_number": "615-666-3022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5430 Austin Peay Hwy",
            "address_purpose": "LOCATION",
            "city": "Westmoreland",
            "state": "TN",
            "postal_code": "371862346",
            "country_code": "US",
            "telephone_number": "615-644-4203",
            "fax_number": "615-666-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MACON COMMUNITY FAMILY HEALTHCARE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "ODUNUSI",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-666-2056",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dr.O@Direct.mcfhgpllc.com",
            "affiliation": "N",
            "address_1": "209 College St",
            "city": "Lafayette",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370831701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Lancaster, PTA
• Brittany Nicole Lankford, NP
• Lebanon Eye Associates
• Life Long Family Practice, PLLC
• Tiffany Ludick, MSN, FNP
• Macon County Board of Education
• Macon County General Hospital Inc.
• Macon County General Hospital Inc.
• Macon County General Hospital, Inc.
• Macon County General Hospital, Inc.

• All providers in Lafayette, TN
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.