NPIMap

Organization Active NPI

Family Medicine Associates-Southern Indiana , P.C.

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1932128113
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICINE ASSOCIATES-SOUTHERN INDIANA , P.C.
Practice address
1332 Lincoln Avenue
Evansville, IN 47714-1516
Phone
(812) 492-3401
Fax
(812) 492-3430
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
R. Chad Perkins, M.D.
Title
Executive Director
Phone
(812) 492-3401

Specialties & licenses 1

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

Addresses

Primary practice location

1332 Lincoln Avenue
Evansville, IN 47714-1516

Mailing address

P.O.Box 2788
Evansville, IN 47728-0788
Phone (812) 492-3401

Other identifiers 1

IdentifierTypeStateIssuer
2003566130MedicaidIN

Other names 1

  • Family Medicine Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1932128113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 2788",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477280788",
            "telephone_number": "812-492-3401",
            "fax_number": "812-492-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 LINCOLN AVENUE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141516",
            "telephone_number": "812-492-3401",
            "fax_number": "812-492-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE ASSOCIATES-SOUTHERN INDIANA , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "R. CHAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-492-3401",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003566130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.