Organization Active NPI

Choice Family Healthcare PLLC

  • Physician Assistant
  • Madison, TN
National Provider Identifier
1750516449
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TN 0000000841 Issued in TN
Legal business name
CHOICE FAMILY HEALTHCARE PLLC
Practice address
607 W Due West Ave
Suite # 105
Madison, TN 37115-4431
Phone
(615) 865-6675
Fax
(615) 865-6674
NPI assigned
May 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Mrs. Karynthia A.G. Phillips, MSM,PA-C
Title
Owner
Phone
(615) 865-6675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X TN 0000000841 TN Primary

Addresses

Primary practice location

607 W Due West Ave
Suite # 105
Madison, TN 37115-4431

Mailing address

607 W Due West Ave
Suite # 105
Madison, TN 37115-4431
Phone (615) 865-6675

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1750516449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE",
            "address_2": "SUITE # 105",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154431",
            "telephone_number": "615-865-6675",
            "fax_number": "615-865-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE",
            "address_2": "SUITE # 105",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154431",
            "telephone_number": "615-865-6675",
            "fax_number": "615-865-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE FAMILY HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-25",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KARYNTHIA",
        "authorized_official_middle_name": "A.G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-865-6675",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSM,PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "TN 0000000841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.