MACON COMMUNITY FAMILY HEALTHCARE GROUP PLLC NPI 1740955673

NPI Information

NPI: 1740955673
Provider Name: MACON COMMUNITY FAMILY HEALTHCARE GROUP PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
209 COLLEGE ST
LAFAYETTE, TN
ZIP 37083
Phone: (615) 666-2056
Get Directions

MACON COMMUNITY FAMILY HEALTHCARE GROUP PLLC is a general practice in Lafayette, 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 MACON COMMUNITY FAMILY HEALTHCARE GROUP PLLC NPI is 1740955673. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

209 COLLEGE ST
LAFAYETTE, TN
ZIP 37083-701
Phone: (615) 666-2056
Fax: (615) 666-3022

The provider's authorized official is Olufemi Odunusi .
The authorized official title is Ceo and has the following contact phone number (615) 666-2056.

The enumeration date for this NPI number is 8/12/2021 and was last updated on 8/12/2021.

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
1	208D00000X	General Practice				Yes

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
1	00000	OTHER		NONE

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »