NPIMap

Organization Active NPI

Afc Physicians of Tennessee, PC

  • General Practice Physician
  • Spring Hill, TN
National Provider Identifier
1902208630
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
AFC PHYSICIANS OF TENNESSEE, PC
Practice address
2070 Wall Street
Spring Hill, TN 37174-0000
Phone
(615) 567-8965
Fax
(615) 567-8969
NPI assigned
Sep 25, 2014
Last updated
Jun 12, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
AFC PHYSICIANS OF TENNESSEE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Authorized official

Name
Mr. Randy Johansen
Title
President
Phone
(205) 421-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X TN Primary

Addresses

Primary practice location

2070 Wall Street
Spring Hill, TN 37174-0000

Mailing address

3700 Cahaba Beach Rd
Birmingham, AL 35242-5225
Phone (205) 403-8902

Other identifiers 1

IdentifierTypeStateIssuer
103G702075OtherTNMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Afc Physicians of TN PC7 organizations share this tax ID, including this one
Part of
Afc Physicians of TN PC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1902208630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 CAHABA BEACH RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425225",
            "telephone_number": "205-403-8902",
            "fax_number": "205-421-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 WALL STREET",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371740000",
            "telephone_number": "615-567-8965",
            "fax_number": "615-567-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFC PHYSICIANS OF TENNESSEE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFC PHYSICIANS OF TENNESSEE, PC",
        "enumeration_date": "2014-09-25",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-421-2101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103G702075",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.