FAMILY MEDICINE CENTER NPI 1376682021

NPI Information

  • NPI: 1376682021
  • Provider Name: FAMILY MEDICINE CENTER
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • CLIA Number: 44D0309391
  • Address: 2700 WESTSIDE DR NW
    SUITE 103
    CLEVELAND, TN
    ZIP 37312
  • Phone: (423) 472-1511

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NPI Details

FAMILY MEDICINE CENTER is an adult medicine family medicine in Cleveland, TN. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. FAMILY MEDICINE CENTER NPI is 1376682021. The provider is registered as an organization entity type.

The provider's business location address is:

2700 WESTSIDE DR NW
SUITE 103
CLEVELAND, TN
ZIP 37312-699
Phone: (423) 472-1511
Fax: (423) 479-9202

The provider's authorized official is Allan C Chastain .
The authorized official title is Partner and has the following contact phone number (423) 472-1511.

The CLIA number assigned to this NPI record is 44D0309391 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 10/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareNo
2207QA0505XFamily MedicineAdult MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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