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COLLIERVILLE FAMILY MEDICAL CENTER P.C.
NPI 1063438208
Family Medicine in Collierville, TN

Active since July 14, 2006
790 W POPLAR AVE, COLLIERVILLE, TN 38017(901) 853-9700(901) 853-9996 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collierville Family Medical Center P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLIERVILLE FAMILY MEDICAL CENTER P.C. (NPI 1063438208) is a healthcare organization registered as a family medicine in Collierville, Tennessee and active in the NPI registry since July 2006. The organization lists John Daniel Crawford, Owner/provider/president, as its authorized official.

NPPES Registry Identity

NPI1063438208
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOLLIERVILLE FAMILY MEDICAL CENTER P.C.
Location Address790 W POPLAR AVECollierville, TN 38017-2544
Mailing Address790 W Poplar AveCollierville, TN 38017-2544 · (901) 853-9700 · Fax (901) 853-9996
Phone(901) 853-9700
Fax(901) 853-9996
Organization SubpartNo
Authorized OfficialJohn Daniel CrawfordOwner/provider/president · (901) 853-9700
Enumeration DateJuly 14, 2006
Last NPPES UpdateJanuary 5, 2010
✔ NPI 1063438208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
790 W POPLAR AVE, Collierville, TN 38017
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA JEAN VANACORE PA-C
Physician Assistant
790 W POPLAR AVE
COLLIERVILLE, TN 38017
Shelby County (901) 853-9700
EMILY MEWBORN APRN
Nurse Practitioner (Family)
790 W POPLAR AVE, SUITE 1
COLLIERVILLE, TN 38017
Shelby County (901) 853-9700
SANDRA L KIRKLAND DNS FNP, BC
Nurse Practitioner (Family)
790 W POPLAR AVE
COLLIERVILLE, TN 38017
Shelby County (901) 853-9700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collierville Family Medical Center P.C.'s NPI number?

The NPI number for Collierville Family Medical Center P.C. is 1063438208. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Collierville Family Medical Center P.C. located?

Collierville Family Medical Center P.C. is located at 790 W Poplar Ave, Collierville, TN 38017. The listed phone number is (901) 853-9700.

What is Collierville Family Medical Center P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Collierville Family Medical Center P.C. was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.