NPIMap

Organization Active NPI

Faith Family Medical Clinic

  • Voluntary or Charitable Agency
  • Nashville, TN
National Provider Identifier
1801929617
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
4202 Issued in TN
Legal business name
FAITH FAMILY MEDICAL CLINIC
Practice address
326 21St Ave N
Nashville, TN 37203-1846
Phone
(615) 341-0808
Fax
(615) 341-0881
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Wayne Henderson, M.D.NPI 1245405984
Title
Medical Director
Phone
(615) 341-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 4202 TN Primary

Addresses

Primary practice location

326 21St Ave N
Nashville, TN 37203-1846

Mailing address

326 21St Ave N
Nashville, TN 37203-1846
Phone (615) 341-0808

National Provider Directory

National Provider Directory

Locations

326 21st Ave N
Nashville, TN 37203
Phone (615) 341-0808

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIGEBD
  • FHIR API: https://api.platform.athenahealth.com/20174/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801929617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 21ST AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031846",
            "telephone_number": "615-341-0808",
            "fax_number": "615-341-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 21ST AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031846",
            "telephone_number": "615-341-0808",
            "fax_number": "615-341-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-341-0808",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "TN",
            "license": "4202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • 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.