Eagle Family Medical Associates PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EAGLE FAMILY MEDICAL ASSOCIATES PLLC

Practice address

13 Bob Tollett Loop
Crossville, TN 38555-2835

Phone

(931) 456-6057

Fax

(931) 707-1954

NPI assigned

Nov 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Pierre Berry, D.O.NPI 1639175573

Title

President

Phone

(931) 456-6057

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

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

• Pierre Kindall Berry, D.O.

  • Family Medicine Physician
  • Hermitage, TN
  • NPI 1639175573
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1290816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290816000000",
    "number": "1861794752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385570787",
            "telephone_number": "931-456-6057",
            "fax_number": "931-707-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BOB TOLLETT LOOP",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552835",
            "telephone_number": "931-456-6057",
            "fax_number": "931-707-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE FAMILY MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-27",
        "last_updated": "2010-11-27",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-456-6057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allie Leshae Duncan, RN
• Callie H Duncan, CPNP
• Beatrice L. Durham, MD
• Katherine Durham, ATC
• William P Dutton, M.D.
• Holly Easterly, BCBA
• Elizabeth Sue Eaves, LPC-MHSP
• Kathleen Ebel, H.I.S.
• Perry Ebel
• Zachary Ebel, H.I.S. - BC

• Primary Care Clinic/Center in Crossville, TN
• Providers in Crossville, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.