Carthage Family Practice Specialists, PC
Family Medicine in Carthage, TN. Organization (NPI-2).
NPI number1508871302
StatusActive
Last updated in NPPESApr 2, 2014
Details
- NPI
- 1508871302
- Entity type
- Organization (NPI-2)
- Legal business name
- Carthage Family Practice Specialists, PC
- Organization subpart
- No
- Enumeration date
- Jul 30, 2006
- Last updated
- Apr 2, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 208D00000X | General Practice | – | – |
Practice location
133 Hospital DrSuite 500
Carthage, TN 37030-4004
Phone 615-735-0700 · Fax 615-735-5480
Mailing address
Po Box 176Carthage, TN 37030-0176
Phone 615-735-0700 · Fax 615-735-5480
Authorized official
Courtney L West
Administrator
6157355401
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