Madison Family Practice

LBN: Madison Family Practice
Madison Family Practice is an health care organization with primary practice located at 1035 E Old Hickory Blvd , Madison TN 37115-4160. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Madison Family Practice can be contacted via phone (615) 868-6464, or through Jordan, John C via phone (615) 868-6464.

Contact Information

Primary practice address
1035 E Old Hickory Blvd Madison TN 37115-4160
Phone: (615) 868-6464
Fax: (615) 868-7986
Website:
Map and Directions
Authorized official contact:
Name: Jordan, John C Doctor of Medicine (MD)
Phone: (615) 868-6464

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MC023806 Tennessee

Profile Details

NPI number 1366643074
LBN Legal business name Madison Family Practice
DBA Doing business as
Authorized official Jordan, John C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2007
Last updated Jul 12th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366643074 NPPES
Tennessee MEDICAID 3706385

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