Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lawrenceburg Family Practice Associates, PC

Organization Family Medicine Physician · NPI 1619103579

Lawrenceburg Family Practice Associates, PC provides Family Medicine Physician services in Lawrenceburg, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 N Locust Ave
Lawrenceburg, TN 38464-3734 Not confirmed with CMS for 17 years — call before visiting
Phone: (931) 762-6476
Fax: (931) 762-1841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD008952 (TN)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence MD008952 (TN)

Record details

NPI number1619103579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Homer Staley — President · (931) 762-6476
Other names Homer L. Staley, Md
NPI enumeratedJune 5, 2009
Last updated in NPPESJune 5, 2009
Mailing address104 N Locust Ave, Lawrenceburg, TN 38464-3734

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