Wartrace Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0000029483 Issued in TN

Legal business name

WARTRACE FAMILY PRACTICE LLC

Practice address

507 Blackman Blvd W
Wartrace, TN 37183-2210

Phone

(931) 389-0600

Fax

(931) 389-6781

NPI assigned

Jun 12, 2008

Last updated

Apr 21, 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

Mr. Rodney C Parsons

Title

Owner

Phone

(931) 685-2022

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1952561979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 N MAIN ST",
            "address_2": "SUITE B",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602391",
            "telephone_number": "931-685-2022",
            "fax_number": "931-685-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 BLACKMAN BLVD W",
            "city": "WARTRACE",
            "state": "TN",
            "postal_code": "371832210",
            "telephone_number": "931-389-0600",
            "fax_number": "931-389-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARTRACE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-685-2022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000029483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelbyville Hospital Company LLC (Tennova Family Care-Wartrace)
• Shelbyville Hospital Corporation (Wartrace Family Practice Center)
• Shelbyville Hospital Corporation (Wartrace Family Practice Clinic)
• Shouthern Transport, LLC
• Vanderbilt Bedford Hospital, LLC (Vanderbilt Integrated Primary Care Wartrace)

• Family Medicine Physician in Wartrace, TN
• Providers in Wartrace, 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 Apr 21, 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.