PROVIDENCE FAMILY MEDICINE, PLLC
NPI 1376722546
Clinic/Center - Primary Care in Madison, TN

Active since October 24, 2007
1210 BRIARVILLE RD BLDG E, MADISON, TN 37115(615) 860-8182(615) 860-8184 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Family Medicine, Pllc NPPES

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

PROVIDENCE FAMILY MEDICINE, PLLC (NPI 1376722546) is a healthcare organization registered as a primary care in Madison, Tennessee and active in the NPI registry since October 2007. The organization lists Wendy G Myles, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1376722546
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROVIDENCE FAMILY MEDICINE, PLLC
Location Address1210 BRIARVILLE RD BLDG EMadison, TN 37115-5136
Mailing Address1210 Briarville Rd Bldg EMadison, TN 37115-5136 · (615) 860-8182 · Fax (615) 860-8184
Fax(615) 860-8184
Organization SubpartNo
Authorized OfficialWendy G MylesOffice Manager · (615) 860-8182
Enumeration DateOctober 24, 2007
Last NPPES UpdateOctober 21, 2008
NPI 1376722546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in TN · 37235
1210 BRIARVILLE RD BLDG E, Madison, TN 37115

Other Identifiers 3

Medicare PIN38929642TN
Other1376722546Npi Group
Medicare UPING15503TN

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Primary Care)
1210 BRIARVILLE RD BLDG E
MADISON, TN 37115
Family Medicine
1210 BRIARVILLE RD BLDG E
MADISON, TN 37115

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 Providence Family Medicine, PLLC's NPI number?

The NPI number for Providence Family Medicine, PLLC is 1376722546. It was assigned to this organization in the NPPES registry on October 24, 2007.

Where is Providence Family Medicine, PLLC located?

Providence Family Medicine, PLLC is located at 1210 Briarville Rd Bldg E, Madison, TN 37115. The listed phone number is (615) 860-8182.

What is Providence Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Providence Family Medicine, PLLC was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.