MAIN STREET MINOR MEDICAL LLC
NPI 1700439734
Family Medicine - Obesity Medicine in Shelbyville, TN

Q: What is Main Street Minor Medical LLC's NPI number?

The NPI number for Main Street Minor Medical LLC is 1700439734. It was assigned to this organization in the NPPES registry on July 18, 2019.

Q: What is Main Street Minor Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Active since July 18, 2019

1121 1/2 N MAIN ST, SHELBYVILLE, TN 37160(931) 735-6003(931) 735-6152 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Main Street Minor Medical Llc NPPES

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

MAIN STREET MINOR MEDICAL LLC (NPI 1700439734) is a healthcare organization registered as an obesity medicine in Shelbyville, Tennessee and active in the NPI registry since July 2019. The organization lists Cristy D Ford, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1700439734

Entity TypeOrganization

Primary Taxonomy207QB0002X

Legal Business NameMAIN STREET MINOR MEDICAL LLC

Location Address1121 1/2 N MAIN STShelbyville, TN 37160-2309

Mailing Address1121 1/2 N Main StShelbyville, TN 37160-2309 · (931) 735-6003 · Fax (931) 735-6152

Phone(931) 735-6003

Fax(931) 735-6152

Organization SubpartNo

Authorized OfficialCristy D FordPractice Manager · (931) 735-6003

Enumeration DateJuly 18, 2019

✔ NPI 1700439734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QB0002X

Definition

A family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

1121 1/2 N MAIN ST, Shelbyville, TN 37160

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. KERRY KIESINER D.C.

Chiropractor

1121 1/2 N MAIN ST
SHELBYVILLE, TN 37160

Bedford County (931) 735-6160

KATHERINE HELEN FOX FNP-C

Family Medicine (Obesity Medicine)

1121 1/2 N MAIN ST
SHELBYVILLE, TN 37160

Bedford County (931) 735-6003

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 Main Street Minor Medical LLC's NPI number?

The NPI number for Main Street Minor Medical LLC is 1700439734. It was assigned to this organization in the NPPES registry on July 18, 2019.

Where is Main Street Minor Medical LLC located?

Main Street Minor Medical LLC is located at 1121 1/2 N Main St, Shelbyville, TN 37160. The listed phone number is (931) 735-6003.

What is Main Street Minor Medical LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

When was this NPI record last updated?

The NPPES record for Main Street Minor Medical LLC was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.