FAMILY MEDIC PRIMARY HEALTHCARE INC (NPI# 1487003950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487003950 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDIC PRIMARY HEALTHCARE INC |
| Practice Address |
4395 Stage Rd Memphis TN 38128-5708 |
| Mailing Address |
Po Box 181262 Memphis TN 38181-1262 |
| Practice Telephone | 9018204446 |
| Practice Fax Number | 9014162888 |
| Mailing Telephone | 9018204445 |
| Mailing Fax Number | 9014162888 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2018-10-22 |
| Authorized Official Name | MR. MICHAELANTONIO JONES II (CEO) |
| Authorized Official Telephone | 9018204445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
4395 STAGE RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760958540 | Trenika Alexander-gorea | Nurse Practitioner | 4395 Stage Rd, Memphis, TN 38128-5708 | 2018-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724822 | Guiding Star Memphis | Clinic/Center | 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 | 2020-03-10 |
| 1376010850 | Mid-south Geriatrics & Palliative Care Pllc | Clinic/Center | 6027 Walnut Grove Rd Ste 317, Memphis, TN 38120-2128 | 2018-11-01 |
| 1194279505 | Allen Primary Care Medicine | Clinic/Center | 6010 Knight Arnold Road Ext, 1, Memphis, TN 38115-3322 | 2016-08-15 |
| 1912365149 | None | Clinic/Center | 1324 Vinton Ave # 1, Memphis, TN 38104-4558 | 2016-02-02 |
| 1790160117 | Eldra Perry | Clinic/Center | 1750 Madison Ave Ste 401, Memphis, TN 38104-6428 | 2015-07-27 |
| 1659752103 | Community Transition Nurse Care Manager, LLC | Clinic/Center | 1251 Wesley Dr Ste 104, Memphis, TN 38116-6442 | 2015-06-10 |
| 1972920452 | Bonk Internal Medicine,inc. | Clinic/Center | 5575 Poplar Ave Ste 504, Memphis, TN 38119-0821 | 2014-03-24 |
| 1992901128 | Locum Tenens Healthcare | Clinic/Center | 3145 Hickory Hill Rd, Suite 101, Memphis, TN 38115-2533 | 2007-06-25 |
| 1295859312 | Families First Health Care | Clinic/Center | 3699 Riverdale, Memphis, TN 38125 | 2007-03-16 |
| 1326116476 | Case Management Inc | Clinic/Center | 3171 Directors Row, Memphis, TN 38131-0405 | 2006-11-30 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.