Active NPI
Family Care of Middletennessee
- Specialist
- Smyrna, TN
National Provider Identifier
1992985055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 31779
- Legal business name
- FAMILY CARE OF MIDDLETENNESSEE
- Practice address
- 713A President PL
Smyrna, TN 37167-5652 - Phone
- (615) 220-0056
- Fax
- (615) 220-0456
- NPI assigned
- Nov 6, 2007
- 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
- Jithander Katkuri, MD
- Title
- Owner
- Phone
- (615) 220-0056
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 31779 | TN | Primary |
Addresses
Primary practice location
713A President PL
Smyrna, TN 37167-5652
Mailing address
713A President PL
Smyrna, TN 37167-5652
Phone (615) 220-0056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4928 Edmondson Pike
Ste 105
Nashville, TN 37211
Phone (615) 833-1622
713A President Pl
Smyrna, TN 37167
Phone (615) 220-0056
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBJBAA
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Smyrna, TN
- NPI 1114974979
-
- Nurse Practitioner
- Murfreesboro, TN
- NPI 1467961169
-
- Family Medicine Physician
- Smyrna, TN
- NPI 1760647697
-
- Physician Assistant
- Woodbury, TN
- NPI 1518911247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194307200000",
"number": "1992985055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713A PRESIDENT PL",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675652",
"telephone_number": "615-220-0056",
"fax_number": "615-220-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713A PRESIDENT PL",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675652",
"telephone_number": "615-220-0056",
"fax_number": "615-220-0456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE OF MIDDLETENNESSEE",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-06",
"last_updated": "2007-11-06",
"status": "A",
"authorized_official_last_name": "KATKURI",
"authorized_official_first_name": "JITHANDER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-220-0056",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TN",
"license": "31779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.