MADISON FAMILY PRACTICE (NPI# 1366643074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366643074 |
| Entity Type | Organization |
| Organization Name | MADISON FAMILY PRACTICE |
| Practice Address |
1035 E Old Hickory Blvd Madison TN 37115-4160 |
| Practice Telephone | 6158686464 |
| Practice Fax Number | 6158687986 |
| Mailing Telephone | 6158686464 |
| Mailing Fax Number | 6158687986 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2010-07-12 |
| Authorized Official Name | DR. JOHN C JORDAN (OWNER) |
| Authorized Official Telephone | 6158686464 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | MC023806 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3706385 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407086101 | Madison Family Practice | Nurse Practitioner | 621 Old Hickory Blvd, Suite G, Jackson, TN 38305-2907 | 2009-07-16 |
| 1982722096 | Madison Family Practice | Family Medicine | 8 Shunpike Rd, Madison, NJ 07940-2740 | 2007-03-27 |
| Street Address |
1035 E OLD HICKORY BLVD |
| City | MADISON |
| State | TN |
| Zip Code | 37115-4160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285675215 | John C Jordan | Family Medicine | 1035 E Old Hickory Blvd, Madison, TN 37115 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245285436 | Sam U Castellani | Legal Medicine | 500 Lentz Dr, Suite 90 B, Madison, TN 37115-5135 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811300791 | Solutions of Savannah | Legal Medicine | 85 Harrison St, Savannah, TN 38372-2280 | 2014-06-09 |
| 1215167580 | Plastic and Reconstructive Surgery PC | Legal Medicine | 1303 Sunset Dr Ste 5, Johnson City, TN 37604-7905 | 2009-07-21 |
| 1750524138 | Michael H. Meadors | Legal Medicine | 2011 Church St Ste 601, Nashville, TN 37203-2070 | 2009-04-14 |
| 1992940761 | Pediatric Consultants of Lenoir City | Legal Medicine | 303 Medical Park Drive, Lenoir City, TN 37772-6473 | 2008-12-09 |
| 1801046479 | Joseph L. Bowers, Md PC | Legal Medicine | 8489 E Brainerd Rd, Chattanooga, TN 37421-4361 | 2008-09-19 |
| 1265695076 | East West Family Care, PC | Legal Medicine | 1001 Capital Funds Court, Nashville, TN 37217-3937 | 2008-07-02 |
| 1043497555 | Jackson County Medical Center LLC | Legal Medicine | 603 S Murray St, Gainesboro, TN 38562-9376 | 2008-01-28 |
| 1407065709 | Lee Grimm, Md PC | Legal Medicine | 3101 Browns Mill Rd Pmb 386, Suite 6, Johnson City, TN 37604-4100 | 2007-05-22 |
| 1174668230 | Roy P Johnson | Legal Medicine | 936 Murfreesboro Rd, Lebanon, TN 37090-5350 | 2007-02-20 |
| 1336236322 | Robert E Finelli | Legal Medicine | 110 Perimeter Park Rd Ste C, Knoxville, TN 37922-2200 | 2006-10-09 |
| Find all providers with the same taxonomy | ||||
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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.