Kimbel David Shepherd, MD | |
2025 N Mount Juliet Rd Ste 200, Mount Juliet, TN 37122-3934 | |
(629) 255-2034 | |
(629) 255-4225 |
Full Name | Kimbel David Shepherd |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2025 N Mount Juliet Rd Ste 200, Mount Juliet, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336133891 | NPI | - | NPPES |
5440108 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD38628 (Tennessee) | Primary |
Entity Name | Heritage Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548284060 PECOS PAC ID: 4688651037 Enrollment ID: O20040702000463 |
Mailing Address | Practice Location Address |
---|---|
Kimbel David Shepherd, MD 222 22nd Ave N, Nashville, TN 37203-1870 Ph: (629) 255-3486 | Kimbel David Shepherd, MD 2025 N Mount Juliet Rd Ste 200, Mount Juliet, TN 37122-3934 Ph: (629) 255-2034 |
Dr. William Samuel Wiseman Ii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 506 Reserve Pl, Mount Juliet, TN 37122 Phone: 615-423-5437 | |
Mercy Jaramillo, FNP-C Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1417 Fairview Drive, Mount Juliet, TN 37122 Phone: 615-300-6915 Fax: 615-222-1917 | |
Jennifer Elaine Cox, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 N Mount Juliet Rd, Suite 200, Mount Juliet, TN 37122 Phone: 615-754-7337 Fax: 615-754-7338 | |
Lauren Williams Cole, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 N Mount Juliet Rd Ste 200, Mount Juliet, TN 37122 Phone: 629-255-2020 |