Fayetteville Medical Associates, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAYETTEVILLE MEDICAL ASSOCIATES, PC

Practice address

207 Elk Ave S
Fayetteville, TN 37334-3051

Phone

(931) 433-2551

Fax

(931) 438-0069

NPI assigned

Mar 8, 2006

Last updated

Nov 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Hudson

Title

Administrator

Phone

(931) 438-1676

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Askins Thorpe, M.D.

  • Pediatrics Physician
  • Fayetteville, TN
  • NPI 1609075670
  NPD

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1902873953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ELK AVE S",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343051",
            "telephone_number": "931-433-2551",
            "fax_number": "931-438-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ELK AVE S",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343051",
            "telephone_number": "931-433-2551",
            "fax_number": "931-438-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "931-438-1676"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3703791",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Falcon Family Healthcare, LLC
• Family First Operating, LLC (Bailey Manor)
• Angela Renee Farler, LPN, BS
• Fast Pace Medical Clinic PLLC
• Fayetteville Healthcare, LLC (Fayetteville Health and Rehabilitation Center)
• Fayetteville Medical Clinic & Urgent Care
• Fayetteville MRI, LLC
• Fayetteville Operator LLC (Lincoln Manor)
• Fayetteville-Lincoln County Senior Citizens Center
• Kayla Lynn Fiveash, ATC

• Family Medicine Physician in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.