Middle Tennessee Family Wellness Group, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MIDDLE TENNESSEE FAMILY WELLNESS GROUP, PC

Practice address

353 New Shackle Island Rd
Suite 122B
Hendersonville, TN 37075-2379

Phone

(615) 822-2400

Fax

(615) 822-9641

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Kenneth Jones

Title

Administrator

Phone

(615) 822-9988

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Goodloe Summers Chaffin Jr., M.D.

  • Family Medicine Physician
  • Gallatin, TN
  • NPI 1124043880
  NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770593345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 122B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-822-2400",
            "fax_number": "615-822-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD",
            "address_2": "SUITE 122B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752379",
            "telephone_number": "615-822-2400",
            "fax_number": "615-822-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE FAMILY WELLNESS GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-822-9988"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Meyer
• Maciej Miciak, LPC/MHSP
• Denese Mickelson
• Mid State ENT, LLC
• Middle Tennessee Audiology, Inc
• Middle Tennessee Imaging
• Middle Tennessee Orthopaedics, PC
• Lori A Middleton, NP
• Taylor Craft Middleton, PHARM.D
• Patricia Mikels

• Family Medicine Physician in Hendersonville, TN
• Providers in Hendersonville, 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 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.