Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1417107210
Family Medical Clinic Of Harrogate, P.c.
Organization Subpart: NO
Active
NPI Number1417107210
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1417107210
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2008-09-29
Last Updated2024-02-20
Authorized OfficialJohn Robertson
Owner
Phone: 4238693684
Mailing AddressPo Box 750
Harrogate, TN 37752-0750
United States
Phone: (423) 869-3684 | Fax: (423) 869-5460
📍 View Map
Primary Practice Address170 Beech St Ste 1
Harrogate, TN 37752-8206
United States
Phone: (423) 869-3684 | Fax: (423) 869-5460
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family Medicine--
Export Provider Record NPI 1417107210
Search for More Providers
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →

About NPI 1417107210

Family Medical Clinic Of Harrogate, P.c. is an organization registered in the CMS NPPES NPI Registry with NPI number 1417107210. The primary specialty listed is Family Medicine. The organization is located in Harrogate, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-09-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1417107210?

NPI 1417107210 belongs to Family Medical Clinic Of Harrogate, P.c., a Family Medicine in Harrogate, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417107210 active?

The current status of NPI 1417107210 in the NPPES registry is Active. The record was last updated on 2024-02-20.

What specialty is NPI 1417107210?

NPI 1417107210 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1417107210?

You can verify NPI 1417107210 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1417107210?

The primary practice address on file for NPI 1417107210 is 170 Beech St Ste 1, Harrogate, TN 37752-8206. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417107210 issued?

NPI 1417107210 was first issued (enumerated) on 2008-09-29. The NPPES record was last updated on 2024-02-20.

Practice Location Map

Family Medical Clinic Of Harrogate, P.c. is located at 170 Beech St Ste 1, Harrogate, TN. Use the map below to find directions or verify the practice location.

📍 170 Beech St Ste 1, Harrogate, TN 37752-8206  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Family Medical Clinic Of Harrogate, P.c.. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162