Healther Providers Data Logo


Provider Type Icon

FAMILY AND SPORTS MEDICINE PC NPI 1588657977


NPI Information

NPI: 1588657977
Provider Name: FAMILY AND SPORTS MEDICINE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1025 EXECUTIVE DR
SUITE 100
HIXSON, TN
ZIP 37343
Phone: (423) 870-2030
Get Directions

FAMILY AND SPORTS MEDICINE PC is a family medicine in Hixson, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY AND SPORTS MEDICINE PC NPI is 1588657977. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1025 EXECUTIVE DR
SUITE 100
HIXSON, TN
ZIP 37343-916
Phone: (423) 870-2030
Fax: (423) 875-6405

The provider's authorized official is Kirk Alexander Wilcox .
The authorized official title is Md/president and has the following contact phone number (423) 870-2030.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 3/22/2011.


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
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C68858MEDICARE UPINTENNESSEE
23168293MEDICAIDTENNESSEE
33082749MEDICARE PINTENNESSEE
43053863MEDICARE PINTENNESSEE
53720420MEDICARE PINTENNESSEE
6F51312MEDICARE UPINTENNESSEE
7B03272MEDICARE UPIN
8F81240MEDICARE UPINTENNESSEE
93053865MEDICAIDTENNESSEE
103168298MEDICARE PINTENNESSEE
113304630MEDICARE PINTENNESSEE
123082742MEDICAIDTENNESSEE

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: 5/5/2024
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »