Mid -Tennessee Family Health Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MID -TENNESSEE FAMILY HEALTH CENTER

Doing business as

Mid-Tennesse Medical

Practice address

110 Weakley Creek Rd
Lawrenceburg, TN 38464-2238

Phone

(931) 766-5001

Fax

(931) 762-3800

NPI assigned

Nov 21, 2006

Last updated

Mar 10, 2014By 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

Kellie Coffey, NPNPI 1063637270

Title

Owner

Phone

(931) 766-5001

Specialties & licenses 1

Addresses

Other names 1

• Mid-Tennesse Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kellie Dobias Coffey, APRN, BC

  • Family Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1063637270
  Medicare reassignment Care Compare group Authorized official
• Shonda Danielle McCafferty, NP-C

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1033556352
  Medicare reassignment Care Compare group NPD
• Richard D Kennedy, M.D.

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1215029897
  Medicare reassignment NPD
• Cynthia R Brackin, N.P.

  • Family Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1134239684
  NPD (past)
• Savanna Marie Jenks, FNP-BC

  • Primary Care Nurse Practitioner
  • Columbia, TN
  • NPI 1801412887
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1750456414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WEAKLEY CREEK RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642238",
            "telephone_number": "931-766-5001",
            "fax_number": "931-762-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WEAKLEY CREEK RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642238",
            "telephone_number": "931-766-5001",
            "fax_number": "931-762-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID -TENNESSEE FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-766-5001",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-Tennesse Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarai Gayle Messer, MS, CCC-SLP
• Amy Phelps Methvin, PA-C
• Kendra Dawn Methvin, NP-C
• Susan Marie Methvin, CRNA
• Michael a Boyd MD PC
• Matthew J Miller, OD
• Donna Mills
• Morgan Mills, NP
• Julie Ann Mink, D.PH.
• Moore Care Ambulance Service LLC

• Family Medicine Physician in Lawrenceburg, TN
• Providers in Lawrenceburg, 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 Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.