Family Physicians of Estill Springs, P.C.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

17539 Issued in TN

Legal business name

FAMILY PHYSICIANS OF ESTILL SPRINGS, P.C.

Practice address

300 S. Main St.
Estill Springs, TN 37330

Phone

(931) 649-5139

Fax

(931) 649-2766

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By 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

Walter James Boyanton III, MDNPI 1831135706

Title

President

Phone

(931) 649-5139

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Walter J Boyanton III, MD

  • Family Medicine Physician
  • Estill Springs, TN
  • NPI 1831135706
  Authorized official Same address or phone

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760509673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S. MAIN ST.",
            "address_2": "P.O. BOX 700",
            "city": "ESTILL SPRINGS",
            "state": "TN",
            "postal_code": "37330",
            "telephone_number": "931-649-5139",
            "fax_number": "931-649-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S. MAIN ST.",
            "city": "ESTILL SPRINGS",
            "state": "TN",
            "postal_code": "37330",
            "telephone_number": "931-649-5139",
            "fax_number": "931-649-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS OF ESTILL SPRINGS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYANTON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-649-5139",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "17539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Randall Davis
• Lorraine Kathleen Dwyer, CMSW
• Vicki Lee Elliott
• Estill Springs Family Dentistry, PLLC
• Terry L Etter, D.D.S.
• Teri Gallagher, PHARMD.
• Deborah Lynn Gibbs, N.P.-C
• Nola Hall
• William Derek Hane, B.S.
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)

• Legal Medicine in Estill Springs, TN
• Providers in Estill Springs, TN by specialty
• Legal Medicine in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.