Mountain Family Medical, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

APN0000012169 Issued in TN

Legal business name

MOUNTAIN FAMILY MEDICAL, PLLC

Practice address

1807 Taft Hwy
Suite 3
Signal MTN, TN 37377-3528

Phone

(423) 886-4942

NPI assigned

Feb 7, 2008

Last updated

Mar 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Kay Wright, APN

Title

Advance Practice Nurse

Phone

(423) 886-4942

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kristina Bearden, D.C.

  • Chiropractor
  • Signal Mountain, TN
  • NPI 1538454376
  NPD (past)
• Randy Robert Heisser, MD

  • Family Medicine Physician
  • East Ridge, TN
  • NPI 1689620999
  NPD (past)

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1992983381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 TAFT HWY",
            "address_2": "SUITE 3",
            "city": "SIGNAL MTN",
            "state": "TN",
            "postal_code": "373773528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 TAFT HWY",
            "address_2": "SUITE 3",
            "city": "SIGNAL MTN",
            "state": "TN",
            "postal_code": "373773528",
            "telephone_number": "423-886-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN FAMILY MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADVANCE PRACTICE NURSE",
        "authorized_official_telephone_number": "423-886-4942",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "APN0000012169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benchmark Healthcare Services LLC
• Henry Minton Francis Jr., M.D.
• Independent Physical Therapy
• Cassandra Joy Landrum, MED, CCC-SLP
• Sharron Courtnie McGinty, PT
• Kristen Schillaci
• Adam Michael Webster, LPC-MHSP
• Stephen Wesley Wickizer, PHARMD

• Primary Care Clinic/Center in Signal MTN, TN
• Providers in Signal MTN, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.