FAMILY MEDICINE CENTER
NPI 1376682021
Family Medicine - Adult Medicine in Cleveland, TN

NPI Status: Active since February 06, 2007

Contact Information

2700 WESTSIDE DR NW
SUITE 103
CLEVELAND, TN
ZIP 37312
Phone: (423) 472-1511
Fax: (423) 479-9202

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  • Organization
  • Family Medicine
  • Adult Medicine
  • CLIA Number: 44D0309391
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-20-2025

About FAMILY MEDICINE CENTER

This page provides the complete NPI Profile along with additional information for Family Medicine Center, a primary care provider established in Cleveland, Tennessee operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1376682021 assigned on February 2007. The practitioner's primary taxonomy code is 207QA0505X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Allan C Chastain M.d. (Partner)

NPI
1376682021
Provider Name
FAMILY MEDICINE CENTER
Entity Type
Organization
Location Address
2700 WESTSIDE DR NW SUITE 103 CLEVELAND, TN 37312
Location Phone
(423) 472-1511
Location Fax
(423) 479-9202
Mailing Address
2700 WESTSIDE DR NW SUITE 103 CLEVELAND, TN 37312
Mailing Phone
(423) 472-1511
Mailing Fax
(423) 479-9202
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2007
Last Update Date
10-06-2020
Code Navigator

A primary care provider (PCP) like Family Medicine Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ALLAN C CHASTAIN M.D.

Authorized Official Title
PARTNER
Authorized Official Phone
(423) 472-1511

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D0309391
Facility Type
Physician Office
Certificate Effective Date
August 21, 2023
Certificate Expiration Date
August 20, 2025
Laboratory Director
DR. PAUL D. BOEREMA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Family Medicine Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FAMILY MEDICINE CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376682021
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23146128404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 2 + 8 + 4 + 0 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1376682021 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295730901MS. JAN SUSAN BURLESON LCSW
Individual
Social Worker (Clinical)2700 WESTSIDE DR NW STE 309
CLEVELAND, TN 37312
(423) 728-2282
1073518775MS. JULIE A HOLT LCSW
Individual
Social Worker (Clinical)2700 WESTSIDE DR NW STE 309
CLEVELAND, TN 37312
(423) 728-2282
1952322398 RAYMOND J. ENZENAUER MD
Individual
Internal Medicine (Rheumatology)2700 WESTSIDE DR NW SUITE 200
CLEVELAND, TN 37312
(423) 478-1050
1750443560 DAVID A SELF MPT
Individual
Physical Therapist2700 WESTSIDE DR NW SUITE 301
CLEVELAND, TN 37312
(423) 479-3600
1255495768 SHELBY ANDERSON P.T.A.
Individual
Physical Therapy Assistant2700 WESTSIDE DR NW SUITE 103
CLEVELAND, TN 37312
(423) 614-0097
1598829194MR. JOHN DUTTON P.T.
Individual
Physical Therapist2700 WESTSIDE DR NW SUITE 103
CLEVELAND, TN 37312
(423) 614-0097
1902960412MR. CHRIS HANEY
Individual
Physical Therapy Assistant2700 WESTSIDE DR NW SUITE 103
CLEVELAND, TN 37312
(423) 614-0097
1558545418DYNAMIC PROSTHETIC & ORTHOTIC
Organization
Prosthetic/Orthotic Supplier2700 WESTSIDE DR NW SUITE 306
CLEVELAND, TN 37312
(423) 478-5093
1457522633CLEVELAND MEDICAL CLINIC INC
Organization
Psychiatry & Neurology (Neurology)2700 WESTSIDE DR NW SUITE 306
CLEVELAND, TN 37312
(423) 576-7575
1972770063STEPHEN V. DRESKIN MD PC
Organization
Pain Medicine (Pain Medicine)2700 WESTSIDE DR NW SUITE 306
CLEVELAND, TN 37312
(423) 664-4635
1013054972ALBERT A CLAIRMONT MD
Organization
Otolaryngology2700 WESTSIDE DR NW SUITE 308
CLEVELAND, TN 37312
(423) 479-4132
1336242569DR. ALBERT ANTHONY CLAIRMONT JR. M.D.
Individual
Otolaryngology2700 WESTSIDE DR NW SUITE 308
CLEVELAND, TN 37312
(423) 479-4132
1568411148CLEVELAND COUNSELING ASSOCIATES, P.C.
Organization
Social Worker (Clinical)2700 WESTSIDE DR NW SUITE 309
CLEVELAND, TN 37312
(423) 728-2282
1659302685TRISTATE ORTHOPEDICS
Organization
Orthopaedic Surgery2700 WESTSIDE DR NW SUITE 103
CLEVELAND, TN 37312
(423) 614-0097
1508877341DR. ALLAN C. CHASTAIN M.D.
Individual
Family Medicine (Adult Medicine)2700 WESTSIDE DR NW SUITE 103
CLEVELAND, TN 37312
(423) 472-1511
1326151655DR. DENNIS A. THOMPSON D.O.
Individual
Family Medicine (Adult Medicine)2700 WESTSIDE DR NW SUITE 103
CLEVELAND, TN 37312
(423) 472-1511
1396979233 PAUL DANIEL BOEREMA M.D.
Individual
Family Medicine (Adult Medicine)2700 WESTSIDE DR NW SUITE 103
CLEVELAND, TN 37312
(423) 472-1511
1003827858DR. WILLIAM AUGUSTUS HAYS M.D.
Individual
Family Medicine (Adult Medicine)2700 WESTSIDE DR NW SUITE 103
CLEVELAND, TN 37312
(423) 472-1511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376682021, enumerated in the NPI registry as an "organization" on February 06, 2007

The provider is located at 2700 Westside Dr Nw Suite 103 Cleveland, Tn 37312 and the phone number is (423) 472-1511

This medical organization specializes in Family Medicine with taxonomy code 207QA0505X with a focus in Adult Medicine

The provider's CLIA number is 44D0309391 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.