THE VILLAGE DOCTOR LLC NPI 1790764579

NPI Information

  • NPI: 1790764579
  • Provider Name: THE VILLAGE DOCTOR, LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 7820 WALKING HORSE CIR
    GERMANTOWN, TN
    ZIP 38138
  • Phone: (901) 752-2500

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NPI Details

THE VILLAGE DOCTOR, LLC is a general practice in Germantown, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee THE VILLAGE DOCTOR, LLC NPI is 1790764579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7820 WALKING HORSE CIR
GERMANTOWN, TN
ZIP 38138-100
Phone: (901) 752-2500

The provider's authorized official is Francis J Fenaughty .
The authorized official title is President and has the following contact phone number (901) 752-2500.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 12/7/2007.

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
1208D00000XGeneral PracticeTENNESSEEYes

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
13733217MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEGROUP #

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: 11/21/2025

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