Active NPI
Total Family Care and Walk-in Clinic, LLC
- Family Medicine Physician
- Murfreesboro, TN
National Provider Identifier
1962866830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2413
- Legal business name
- TOTAL FAMILY CARE AND WALK-IN CLINIC, LLC
- Practice address
- 452 N Thompson LN
Suite E
Murfreesboro, TN 37129-4310 - Phone
- (615) 900-3301
- Fax
- (615) 962-9328
- NPI assigned
- Apr 7, 2016
- 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
- Mr. Sherwan Ahmad, D.O.
- Title
- Principal Officer
- Phone
- (615) 900-3301
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2413 | TN | Primary |
Addresses
Primary practice location
452 N Thompson LN
Suite E
Murfreesboro, TN 37129-4310
Mailing address
452 N Thompson LN
Suite E
Murfreesboro, TN 37129-4310
Phone (615) 900-3301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160718001251 | TN | Part B Supplier - Clinic/Group Practice | 7214229905 |
Receives reassigned benefits from 1 practitioner Practice locations: Murfreesboro, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2113198 | Total Family Care and Walk-in Clinic, LLC | Certificate of waiver | May 16, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Gallatin, TN
- NPI 1679039010
-
- Physician Assistant
- Shelbyville, TN
- NPI 1992172811
-
- Pediatrics Physician
- Shelbyville, TN
- NPI 1104878248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459987200000",
"number": "1962866830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 N THOMPSON LN",
"address_2": "SUITE E",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371294310",
"telephone_number": "615-900-3301",
"fax_number": "615-962-9328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 N THOMPSON LN",
"address_2": "SUITE E",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371294310",
"telephone_number": "615-900-3301",
"fax_number": "615-962-9328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL FAMILY CARE AND WALK-IN CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-07",
"last_updated": "2016-04-07",
"status": "A",
"authorized_official_last_name": "AHMAD",
"authorized_official_first_name": "SHERWAN",
"authorized_official_title_or_position": "PRINCIPAL OFFICER",
"authorized_official_telephone_number": "615-900-3301",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TN",
"license": "2413",
"primary": true
}
],
"identifiers": [],
"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 Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.