MAIN STREET FAMILY PRACTICE INC
NPI 1952355372
Specialist in Portland, TN

Q: What is Main Street Family Practice Inc's NPI number?

The NPI number for Main Street Family Practice Inc is 1952355372. It was assigned to this organization in the NPPES registry on May 20, 2006.

Q: What is Main Street Family Practice Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 20, 2006

120 MAIN ST, PORTLAND, TN 37148(615) 323-8873(615) 323-8874 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Main Street Family Practice Inc NPPES

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

MAIN STREET FAMILY PRACTICE INC (NPI 1952355372) is a healthcare organization registered as a specialist in Portland, Tennessee and active in the NPI registry since May 2006. The organization lists Stacey D Vance, President, as its authorized official.

NPPES Registry Identity

NPI1952355372

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameMAIN STREET FAMILY PRACTICE INC

Location Address120 MAIN STPortland, TN 37148-1218

Mailing Address120 Main StPortland, TN 37148-1218 · (615) 323-8873 · Fax (615) 323-8874

Phone(615) 323-8873

Fax(615) 323-8874

Organization SubpartNo

Authorized OfficialStacey D VancePresident · (615) 323-8873

Enumeration DateMay 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1952355372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TN · 33966

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

120 MAIN ST, Portland, TN 37148

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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

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

STACEY DROTT VANCE MD

Family Medicine

120 MAIN ST
PORTLAND, TN 37148

Sumner County (615) 323-8873

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 Family Practice Inc's NPI number?

The NPI number for Main Street Family Practice Inc is 1952355372. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Main Street Family Practice Inc located?

Main Street Family Practice Inc is located at 120 Main St, Portland, TN 37148. The listed phone number is (615) 323-8873.

What is Main Street Family Practice Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Main Street Family Practice Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.