Active NPI
Donelson Family Practice, PLLC
- Family Medicine Physician
- Nashville, TN
National Provider Identifier
1972754315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M.D. 8780
- Legal business name
- DONELSON FAMILY PRACTICE, PLLC
- Practice address
- 205 Donelson Pike
Nashville, TN 37214-2903 - Phone
- (615) 885-3223
- Fax
- (615) 885-3231
- NPI assigned
- Oct 3, 2008
- 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. Radnakanta Mishra, PH.D
- Title
- Office Manager
- Phone
- (615) 885-3223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M.D. 8780 | TN | Primary |
Addresses
Primary practice location
205 Donelson Pike
Nashville, TN 37214-2903
Mailing address
205 Donelson Pike
Nashville, TN 37214-2903
Phone (615) 885-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3166992 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
205 Donelson Pike
Nashville, TN 37214
Phone (615) 885-3223
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Franklin, TN
- NPI 1306872981
-
- Adolescent Medicine (Family Medicine) Physician
- Nashville, TN
- NPI 1588690168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222992000000",
"number": "1972754315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 DONELSON PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372142903",
"telephone_number": "615-885-3223",
"fax_number": "615-885-3231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 DONELSON PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372142903",
"telephone_number": "615-885-3223",
"fax_number": "615-885-3231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONELSON FAMILY PRACTICE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-03",
"last_updated": "2008-10-03",
"status": "A",
"authorized_official_last_name": "MISHRA",
"authorized_official_first_name": "RADNAKANTA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "615-885-3223",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TN",
"license": "M.D. 8780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3166992",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.