Organization Active NPI

Familymenders LLC

  • Community/Behavioral Health Agency
  • Ringgold, GA
National Provider Identifier
1952690976
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILYMENDERS LLC
Practice address
5789 Battlefield Pkwy
Ringgold, GA 30736-5154
Phone
(423) 266-4129
NPI assigned
Mar 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Kelli Smith
Title
Executive Director
Phone
(423) 991-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5789 Battlefield Pkwy
Ringgold, GA 30736-5154

Mailing address

PO Box 4780
Chattanooga, TN 37405-0780

Other identifiers 1

IdentifierTypeStateIssuer
373880279AMedicaidGA

National Provider Directory

National Provider Directory

Locations

5789 Battlefield Pkwy
Ringgold, GA 30736
Phone (423) 266-4129

Practitioners & affiliated clinicians

Practitioners 1

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": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1952690976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4780",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374050780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5789 BATTLEFIELD PKWY",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307365154",
            "telephone_number": "423-266-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILYMENDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "423-991-1441"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373880279A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

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