ATOKA IDAVILLE FAMILY HEALTH, INC
NPI 1962861310
Clinic/Center - Primary Care in Brighton, TN

Active since February 13, 2016
5847 ATOKA IDAVILLE RD, BRIGHTON, TN 38011(901) 304-8709 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2022, Jan 10, 2018, Nov 9, 2017 and 3 more (6 updates tracked since 2016).

About Atoka Idaville Family Health, Inc NPPES

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

ATOKA IDAVILLE FAMILY HEALTH, INC (NPI 1962861310) is a healthcare organization registered as a primary care in Brighton, Tennessee and active in the NPI registry since February 2016. The organization lists Robyn Yvette Vanderford, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1962861310
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameATOKA IDAVILLE FAMILY HEALTH, INC
Location Address5847 ATOKA IDAVILLE RDBrighton, TN 38011-7066
Mailing Address5847 Atoka Idaville RdBrighton, TN 38011-7066 · (901) 837-0701 · Fax (901) 837-0703
Organization SubpartNo
Authorized OfficialRobyn Yvette VanderfordOwner/provider · (901) 837-0701
Enumeration DateFebruary 13, 2016
Last NPPES UpdateSeptember 30, 20226 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
NPI 1962861310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in TN · 13123
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2007009643 (TN)
5847 ATOKA IDAVILLE RD, Brighton, TN 38011

Other Identifiers 1

Medicaid3703407TN

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.

Nurse Practitioner (Family)
5847 ATOKA IDAVILLE RD
BRIGHTON, TN 38011

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 Atoka Idaville Family Health, Inc's NPI number?

The NPI number for Atoka Idaville Family Health, Inc is 1962861310. It was assigned to this organization in the NPPES registry on February 13, 2016.

Where is Atoka Idaville Family Health, Inc located?

Atoka Idaville Family Health, Inc is located at 5847 Atoka Idaville Rd, Brighton, TN 38011. The listed phone number is (901) 304-8709.

What is Atoka Idaville Family Health, Inc'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 Atoka Idaville Family Health, Inc was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.