Organization Active NPI

Owen Family Medicine, Inc.

  • Family Nurse Practitioner
  • Covington, TN
National Provider Identifier
1972801405
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
OWEN FAMILY MEDICINE, INC.
Practice address
1618 Highway 51 S
Suite G
Covington, TN 38019-3237
Phone
(901) 476-7777
Fax
(901) 476-0007
NPI assigned
Mar 8, 2011
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Marnie Myers
Title
Credentialing
Phone
(901) 476-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1618 Highway 51 S
Suite G
Covington, TN 38019-3237

Mailing address

1618 Highway 51 S Ste G
Covington, TN 38019-3237
Phone (901) 476-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140509000670 TN Part B Supplier - Clinic/Group Practice 7719151992 Receives reassigned benefits from 2 practitioners
Practice locations: Covington, TN

National Provider Directory

National Provider Directory

Locations

1618 Highway 51 S
Ste G
Covington, TN 38019
Phone (901) 476-7777

Practitioners & affiliated clinicians

Practitioners 4

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": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1972801405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 HIGHWAY 51 S STE G",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193237",
            "telephone_number": "901-476-7777",
            "fax_number": "901-476-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 HIGHWAY 51 S",
            "address_2": "SUITE G",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193237",
            "telephone_number": "901-476-7777",
            "fax_number": "901-476-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWEN FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "901-476-7777"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.