Organization Active NPI

Family Medical Providers, PLLC

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1871140475
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICAL PROVIDERS, PLLC
Practice address
3496 Brainerd Rd
Chattanooga, TN 37411-3532
Phone
(423) 243-8196
NPI assigned
Aug 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Dr. Paul Anthony Miranda, MD
Title
Owner
Phone
(423) 243-8196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3496 Brainerd Rd
Chattanooga, TN 37411-3532

Mailing address

PO Box 93
Signal Mountain, TN 37377-0093
Phone (423) 243-8196

Other practice location 1

88 Stuart Rd Ste 88
Fort Oglethorpe, GA 30742-4047
Phone (423) 521-5404

National Provider Directory

National Provider Directory

Locations

88 Stuart Rd
Ste 88
Ft Oglethorpe, GA 30742
Phone (423) 521-5404

3496 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 243-8196

329 Ault Rd
Signal Mtn, TN 37377
Phone (423) 521-5404

Practitioners & affiliated clinicians

Practitioners 3

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": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1871140475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373770093",
            "telephone_number": "423-243-8196",
            "fax_number": "706-406-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3496 BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113532",
            "telephone_number": "423-243-8196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Stuart Rd Ste 88",
            "address_purpose": "LOCATION",
            "city": "Fort Oglethorpe",
            "state": "GA",
            "postal_code": "307424047",
            "country_code": "US",
            "telephone_number": "423-521-5404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY MEDICAL PROVIDERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-243-8196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.