NPIMap

Organization Active NPI

Firstchoice Family Care

  • Rural Health Clinic/Center
  • Byrdstown, TN
National Provider Identifier
1962961466
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FIRSTCHOICE FAMILY CARE
Practice address
601 W Main St
Byrdstown, TN 38549-2400
Phone
(931) 864-3232
Fax
(931) 864-3230
NPI assigned
Mar 14, 2019
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Jamie Garrett
Title
Practice Manager
Phone
(931) 864-3232

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

601 W Main St
Byrdstown, TN 38549-2400

Mailing address

601 W Main St
Byrdstown, TN 38549-2400
Phone (931) 864-3232

Other practice location 1

557 Means Rd
Byrdstown, TN 38549-4601
Phone (931) 864-6991

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Praxis Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200429002378 TN Part B Supplier - Clinic/Group Practice 2668802968 Receives reassigned benefits from 5 practitioners
Practice locations: Byrdstown, TN
O20220504002865 KY Part B Supplier - Clinic/Group Practice 2668802968 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, KY
O20240812003617 TN Part A Provider - Rural Health Clinic 2668802968 1 other NPI on this enrollment
Practice locations: Byrdstown, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962961466. Details of each certification follow.

Rural health clinic certification: CCN 888910

Legal name
FIRSTCHOICE FAMILY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 15, 2024
Last certification
Nov 15, 2024
Ownership / control type
1A
Organization structure
LLCProprietary
Enrollment address
601 W Main St
Byrdstown, TN 38549-2416

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Paul Tompkins Individual 5% Or Greater Direct Ownership Interest Mar 13, 2019 100%
Corporate OfficerPresident Mar 13, 2019 100%
W-2 Managing EmployeePresident Mar 13, 2019 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1962961466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W MAIN ST",
            "city": "BYRDSTOWN",
            "state": "TN",
            "postal_code": "385492400",
            "telephone_number": "931-864-3232",
            "fax_number": "931-864-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MAIN ST",
            "city": "BYRDSTOWN",
            "state": "TN",
            "postal_code": "385492400",
            "telephone_number": "931-864-3232",
            "fax_number": "931-864-3230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "557 Means Rd",
            "address_purpose": "LOCATION",
            "city": "Byrdstown",
            "state": "TN",
            "postal_code": "385494601",
            "country_code": "US",
            "telephone_number": "931-864-6991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRSTCHOICE FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "931-864-3232"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Praxis",
            "affiliation": "N",
            "endpointDescription": "Praxis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "601 W Main St",
            "city": "Byrdstown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "385492400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Byrdstown, TN

Sources for this page

Verify at the official NPI Registry.