Organization Active NPI

Total Family Care and Walk-in Clinic, LLC

  • Family Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1962866830
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2413 Issued in TN
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

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Mr. Sherwan Ahmad, D.O.NPI 1366731697
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2113198Total Family Care and Walk-in Clinic, LLC452 N Thompson Lane, Suite E, Murfreesboro, TN 37129Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "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.

Verify at the official NPI Registry.