Provider Demographics
NPI:1114040284
Name:FRANKLIN INTERNAL MEDICINE AND FAMILY PRACTICE, PLLC
Entity Type:Organization
Organization Name:FRANKLIN INTERNAL MEDICINE AND FAMILY PRACTICE, PLLC
Other - Org Name:FRANKLIN PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SUPPINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-794-5354
Mailing Address - Street 1:4601 CAROTHERS PARKWAY
Mailing Address - Street 2:SUITE 225
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:615-794-5354
Mailing Address - Fax:615-599-3532
Practice Address - Street 1:4601 CAROTHERS PARKWAY
Practice Address - Street 2:SUITE 225
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-794-5354
Practice Address - Fax:615-599-3532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3718485Medicaid
TN3718485Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER