Active NPI
Familymenders LLC
- Community/Behavioral Health Agency
- Ringgold, GA
National Provider Identifier
1952690976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 373880279A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychologist
- Ringgold, GA
- NPI 1497801591
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.