Organization Active NPI

Barfield Family Walk in Clinic

  • Primary Care Clinic/Center
  • Murfreesboro, TN
National Provider Identifier
1912978370
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
7765 Issued in TN
Legal business name
BARFIELD FAMILY WALK IN CLINIC
Practice address
2910 South Church St
Suite B
Murfreesboro, TN 37127-7149
Phone
(615) 895-3600
Fax
(615) 895-0024
NPI assigned
Feb 1, 2006
Last updated
Sep 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Mr. Jack Dempsey Hydrick II, FNPNPI 1053382648
Title
General Partner
Phone
(615) 895-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 7765 TN Primary

Addresses

Primary practice location

2910 South Church St
Suite B
Murfreesboro, TN 37127-7149

Mailing address

2910 South Church St
Suite B
Murfreesboro, TN 37127
Phone (615) 895-3600

Other identifiers 2

IdentifierTypeStateIssuer
3907988MedicaidTN
4095318OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140417000885 TN Part B Supplier - Clinic/Group Practice 9931331303 Receives reassigned benefits from 3 practitioners
Practice locations: Murfreesboro, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1912978370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 SOUTH CHURCH ST",
            "address_2": "SUITE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37127",
            "telephone_number": "615-895-3600",
            "fax_number": "615-895-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 SOUTH CHURCH ST",
            "address_2": "SUITE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277149",
            "telephone_number": "615-895-3600",
            "fax_number": "615-895-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARFIELD FAMILY WALK IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "HYDRICK",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DEMPSEY",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "615-895-3600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "7765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3907988",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4095318",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.