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Main Street Family Practice Inc

Specialist in Portland, TN · enumerated 2006 · authorized official Stacey Vance, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952355372

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Registry record

Entity type Organization (Type 2)
Legal business name Main Street Family Practice Inc
Practice address 120 Main St, Portland, TN, 37148
Fax (615) 323-8874
Enumeration date May 20, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

174400000X Specialist Other Service Providers · License 33966 (TN) Primary

Authorized official

Name Stacey Vance
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Main Street Family Practice Inc?
The NPI for Main Street Family Practice Inc is 1952355372, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Main Street Family Practice Inc?
NPPES lists Stacey Vance (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.