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

Main Street Family Practice Inc

Organization Specialist · NPI 1952355372

Main Street Family Practice Inc provides Specialist services in Portland, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

120 Main St
Portland, TN 37148-1218
Phone: (615) 323-8873
Fax: (615) 323-8874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 33966 (TN)

Record details

NPI number1952355372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Vance — President · (615) 323-8873
NPI enumeratedMay 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address120 Main St, Portland, TN 37148-1218

Other providers in Portland