PACK FAMILY PRACTICE PLLC
NPI 1649827197
Family Medicine in Lebanon, TN

Active since August 20, 2019
201 SIGNATURE PL STE 103, LEBANON, TN 37087(615) 257-7778(615) 235-3660 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2026, Sep 19, 2025, Jul 2, 2024 and 4 more (7 updates tracked since 2019).

About Pack Family Practice Pllc NPPES

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

PACK FAMILY PRACTICE PLLC (NPI 1649827197), doing business as Pack Family Practice, Pllc, is a healthcare organization registered as a family medicine in Lebanon, Tennessee and active in the NPI registry since August 2019. The organization lists Steven Pack, Owner/pa, as its authorized official.

NPPES Registry Identity

NPI1649827197
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePACK FAMILY PRACTICE PLLC
Location Address201 SIGNATURE PL STE 103Lebanon, TN 37087-3377
Mailing Address201 Signature Pl Ste 103Lebanon, TN 37087-3377 · (615) 257-7778 · Fax (615) 235-3660
Fax(615) 235-3660
Organization SubpartNo
Authorized OfficialSteven PackOwner/pa · (615) 257-7778
Enumeration DateAugust 20, 2019
Last NPPES UpdateAugust 19, 20267 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1649827197 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.
201 SIGNATURE PL STE 103, Lebanon, TN 37087

Other Names 2

Doing Business AsPack Family Practice, Pllc
Former Legal Business NameJantz Family Practice Pllc

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pack Family Practice Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pack Family Practice PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1154747889
201 SIGNATURE PL STE 103
Lebanon, TN 37087
(615) 257-7778
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205193794
201 SIGNATURE PL STE 103
Lebanon, TN 37087
(615) 257-7778
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609278993
201 SIGNATURE PL STE 103
Lebanon, TN 37087
(615) 257-7778
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902295983
201 SIGNATURE PL STE 103
Lebanon, TN 37087
(615) 257-7778
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pack Family Practice PLLC's NPI number?

The NPI number for Pack Family Practice PLLC is 1649827197. It was assigned to this organization in the NPPES registry on August 20, 2019. The provider is doing business as Pack Family Practice, PLLC. The provider was formerly known as Jantz Family Practice PLLC.

Where is Pack Family Practice PLLC located?

Pack Family Practice PLLC is located at 201 Signature Pl Ste 103, Lebanon, TN 37087. The listed phone number is (615) 257-7778.

What is Pack Family Practice PLLC's specialty?

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

Is Pack Family Practice PLLC enrolled in Medicare?

Yes. Pack Family Practice PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pack Family Practice PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Pack Family Practice PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pack Family Practice PLLC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.