Nicole S Kearney, MD | |
60 Physicians Dr, Jackson, TN 38305-2070 | |
(731) 664-9928 | |
(731) 664-9749 |
Full Name | Nicole S Kearney |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 60 Physicians Dr, Jackson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568470235 | NPI | - | NPPES |
195037 | Other | TN | BETTER HEALTH PLANS OF TN |
4133891 | Other | TN | BCBS |
195037 | Other | TN | UNISON |
7347856 | Other | TN | ATHENA |
38165 | Other | TN | TLC |
3827707 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 41059 (Tennessee) | Primary |
Entity Name | Privia Pediatric Medical Group Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710385513 PECOS PAC ID: 3375861032 Enrollment ID: O20150409002405 |
Mailing Address | Practice Location Address |
---|---|
Nicole S Kearney, MD 60 Physicians Dr, Jackson, TN 38305-2070 Ph: (731) 664-9928 | Nicole S Kearney, MD 60 Physicians Dr, Jackson, TN 38305-2070 Ph: (731) 664-9928 |
Lisa M Piercey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-664-1375 Fax: 731-660-8370 | |
Amy E Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8369 | |
Deepank Sahni, Pediatrics Medicare: Medicare Enrolled Practice Location: 1535 Vann Dr, Jackson, TN 38305 Phone: 901-287-7337 | |
William H Woods Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-664-1375 Fax: 731-660-8370 | |
Mr. Jerrold Jay Kartzinel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 174 Murray Guard Dr Ste C, Jackson, TN 38305 Phone: 949-398-7654 Fax: 949-407-6788 | |
Katherine E Mcknight, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8369 | |
Mary Elisabeth Neal Anderson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-664-1375 Fax: 731-660-8336 |