# ADVANCED FAMILY MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467957126
- **Authorized official:** WILLIAM V CAICEDO FNP (NP)
- **Authorized official phone:** (731) 518-7391

## Contact information

- **Practice address:** 101 MAIN ST N, MIDDLETON, TN 38052-3433
- **Practice address phone:** (731) 472-2147
- **Practice address fax:** (731) 472-2148
- **Mailing address:** 101 MAIN ST N, MIDDLETON, TN 38052-3433
- **Mailing address phone:** (731) 472-2147
- **Mailing address fax:** (731) 472-2148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | 17787 | TN | — |

## Other

- **Enumeration date:** 03/26/2018
- **Last updated:** 02/08/2019