NPIMap

Organization Active NPI

Crescent Health Pigion Forge

Doing business as First Med

  • Family Nurse Practitioner
  • Pigeon Forge, TN
National Provider Identifier
1912324906
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11627 Issued in TN
Legal business name
CRESCENT HEALTH PIGION FORGE
Doing business as
First Med
Practice address
190 Community Center Dr
Suite 103
Pigeon Forge, TN 37863-6251
Phone
(865) 446-4032
Fax
(865) 868-4746
NPI assigned
Mar 27, 2014
Last updated
Nov 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Rhonda D Davis, GM
Title
General Manager
Phone
(865) 446-4032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11627 TN Primary

Addresses

Primary practice location

190 Community Center Dr
Suite 103
Pigeon Forge, TN 37863-6251

Mailing address

190 Community Center Dr
Suite 103
Pigeon Forge, TN 37863-6251
Phone (865) 446-4032

Other names 1

  • First Med Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crescent Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1912324906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 COMMUNITY CENTER DR",
            "address_2": "SUITE 103",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378636251",
            "telephone_number": "865-446-4032",
            "fax_number": "865-868-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 COMMUNITY CENTER DR",
            "address_2": "SUITE 103",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378636251",
            "telephone_number": "865-446-4032",
            "fax_number": "865-868-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT HEALTH PIGION FORGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "865-446-4032",
        "authorized_official_credential": "GM"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "11627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pigeon Forge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.