Family First Medicine, Apmc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

018988 Issued in LA

Legal business name

FAMILY FIRST MEDICINE, APMC

Practice address

902 S Vienna St
Ruston, LA 71270-5830

Phone

(318) 513-1950

Fax

(318) 513-1952

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jerry A Smith, M.D.

Title

Owner

Phone

(318) 513-1950

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittany Elaine Kelly, PA

  • Physician Assistant
  • Shreveport, LA
  • NPI 1164975959
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312070400000",
    "number": "1992868327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2034",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712732034",
            "telephone_number": "318-513-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S VIENNA ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705830",
            "telephone_number": "318-513-1950",
            "fax_number": "318-513-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST MEDICINE, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-07-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-513-1950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "018988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448541",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Exectional Client Care Services
• Eye Care & Cosmetic Center, LLC (Williamson Allemond Regional Eye Center)
• Marilyn Ezell, LPC
• Faith in the Family
• Misty Cheek Falting
• Family Life Developmental Center
• Family Life Developmental Center
• Family Life Developmental Center
• Family Life Developmental Center
• Family Life Developmental Center

• Family Medicine Physician in Ruston, LA
• Providers in Ruston, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.