Active NPI
Family Medicine Partners LLC
- Family Medicine Physician
- Collierville, TN
National Provider Identifier
1831149533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD0000021004
- Legal business name
- FAMILY MEDICINE PARTNERS LLC
- Practice address
- 2028 W Poplar Ave Ste 111
Collierville, TN 38017-0618 - Phone
- (901) 850-9900
- Fax
- (901) 853-2706
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fidel Deleon Makapugay, M.D.
- Title
- M.D.
- Phone
- (901) 850-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD0000021004 | TN | Primary |
Addresses
Primary practice location
2028 W Poplar Ave Ste 111
Collierville, TN 38017-0618
Mailing address
2028 W Poplar Ave Ste 111
Collierville, TN 38017-0618
Phone (901) 850-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3121215 | Other | TN | BCBST-PIN # |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696636800000",
"number": "1831149533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 W POPLAR AVE STE 111",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380170618",
"telephone_number": "901-850-9900",
"fax_number": "901-853-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 W POPLAR AVE STE 111",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380170618",
"telephone_number": "901-850-9900",
"fax_number": "901-853-2706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICINE PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2023-10-07",
"certification_date": "2023-10-07",
"status": "A",
"authorized_official_last_name": "MAKAPUGAY",
"authorized_official_first_name": "FIDEL",
"authorized_official_middle_name": "DELEON",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "901-850-9900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TN",
"license": "MD0000021004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST-PIN #",
"identifier": "3121215",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.