| Jackson Clinic Pa | |
|
2863 Highway 45 Byp Jackson TN 38305-3618 | |
| (731) 664-1375 | |
| (731) 664-1378 |
| Full Name | Jackson Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2863 Highway 45 Byp, Jackson, Tennessee |
| Authorized Official Name and Position | Mark Allen (C.E.O.) |
| Authorized Official Contact | 7314220330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Clinic Pa Po Box 400 Jackson TN 38302-0400 Ph: (731) 423-8697 | Jackson Clinic Pa 2863 Highway 45 Byp Jackson TN 38305-3618 Ph: (731) 664-1375 |
| NPI Number | 1285629386 |
|---|---|
| Provider Enumeration Date | 09/14/2005 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Medicare PECOS PAC ID | 2668376872 |
|---|---|
| Medicare Enrollment ID | O20040318000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285629386 | NPI | - | NPPES |
| 3370007 | Medicaid | TN |
| Provider Name | John P Moyers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326023789 PECOS PAC ID: 9638083595 Enrollment ID: I20031114000410 |
| Provider Name | Debra L. Rainey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952336513 PECOS PAC ID: 6103725502 Enrollment ID: I20040105000766 |
| Provider Name | Dennis A Hulm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457328049 PECOS PAC ID: 5496656373 Enrollment ID: I20040114000533 |
| Provider Name | James L Ellis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275500597 PECOS PAC ID: 8325949225 Enrollment ID: I20040114000666 |
| Provider Name | John D Crocker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598732299 PECOS PAC ID: 1951294537 Enrollment ID: I20040206000200 |
| Provider Name | Daniel Fullmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114994738 PECOS PAC ID: 1850204413 Enrollment ID: I20040303000309 |
| Provider Name | Gregory C Bruno |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518934215 PECOS PAC ID: 5193701506 Enrollment ID: I20040626000221 |
| Provider Name | Alice J Waldrop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407825805 PECOS PAC ID: 1759360191 Enrollment ID: I20040719000533 |
| Provider Name | Margaret J Spragins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407092836 PECOS PAC ID: 7214916584 Enrollment ID: I20040719001451 |
| Provider Name | Dulce F Madrid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356318406 PECOS PAC ID: 6305816422 Enrollment ID: I20040727001322 |
| Provider Name | Rosilin K Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164491213 PECOS PAC ID: 6002883188 Enrollment ID: I20040916001068 |
| Provider Name | Colin B Meyerowitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073557831 PECOS PAC ID: 9739157090 Enrollment ID: I20040923000818 |
| Provider Name | Keith A Micetich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427026137 PECOS PAC ID: 2567431596 Enrollment ID: I20041013001418 |
| Provider Name | Kartik Boorgu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689616294 PECOS PAC ID: 2668421512 Enrollment ID: I20050217000929 |
| Provider Name | Lane Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548202500 PECOS PAC ID: 3173429487 Enrollment ID: I20050504001097 |
| Provider Name | Mary Anne Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952331845 PECOS PAC ID: 9234171273 Enrollment ID: I20050531000758 |
| Provider Name | Kamran Mahalati |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518934603 PECOS PAC ID: 2163464017 Enrollment ID: I20050601000674 |
| Provider Name | Tracy A Townes-bougard |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518935170 PECOS PAC ID: 3476597394 Enrollment ID: I20050613000321 |
| Provider Name | James D Massie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689617433 PECOS PAC ID: 7012953037 Enrollment ID: I20050629001307 |
| Provider Name | Chima Oleru |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841268299 PECOS PAC ID: 0143283564 Enrollment ID: I20050719001244 |
| Provider Name | Heather M Mckee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134187818 PECOS PAC ID: 6507891587 Enrollment ID: I20050928000807 |
| Provider Name | Aleruchi Oleru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104893239 PECOS PAC ID: 6507829934 Enrollment ID: I20051026000866 |
| Provider Name | Luis F Pagoaga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225032956 PECOS PAC ID: 5799702809 Enrollment ID: I20051028000040 |
| Provider Name | Tony Ghodadra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346217973 PECOS PAC ID: 8224006960 Enrollment ID: I20060112000324 |
| Provider Name | William Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871548818 PECOS PAC ID: 8527043850 Enrollment ID: I20060629000077 |
| Provider Name | Ryan Allen Roy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205873536 PECOS PAC ID: 4587677430 Enrollment ID: I20060720000042 |
| Provider Name | Osayawe N Odeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245255819 PECOS PAC ID: 5395748883 Enrollment ID: I20060823000446 |
| Provider Name | Maria S Dee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780672014 PECOS PAC ID: 8426018003 Enrollment ID: I20060930000051 |
| Provider Name | Donna J Wallis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851313191 PECOS PAC ID: 7517963788 Enrollment ID: I20061011000227 |
| Provider Name | Alan Curtis Rothrock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811925704 PECOS PAC ID: 1759327174 Enrollment ID: I20061026000547 |
| Provider Name | Kellie L Wallace-wilding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063518629 PECOS PAC ID: 3971504457 Enrollment ID: I20070125000551 |
| Provider Name | Nicolas B Appleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700871480 PECOS PAC ID: 0749384824 Enrollment ID: I20070329000226 |
| Provider Name | Antwan D Robinson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073635132 PECOS PAC ID: 9032210653 Enrollment ID: I20070726000720 |
| Provider Name | Stephen Gregory Bergquist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992896401 PECOS PAC ID: 5698732790 Enrollment ID: I20070831000197 |
| Provider Name | Stephen D Hammond |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689642605 PECOS PAC ID: 4688768526 Enrollment ID: I20070921000704 |
| Provider Name | Judith L Baskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558330670 PECOS PAC ID: 0446347520 Enrollment ID: I20071106000778 |
| Provider Name | Ava C Mcpeake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760664247 PECOS PAC ID: 1658454665 Enrollment ID: I20080214000307 |
| Provider Name | Thomas Warren Ellis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932147774 PECOS PAC ID: 1153379052 Enrollment ID: I20080521000290 |
| Provider Name | Lolly Eldridge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285852509 PECOS PAC ID: 9436220852 Enrollment ID: I20080612000403 |
| Provider Name | Benjamin D Griffin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376756742 PECOS PAC ID: 8325119027 Enrollment ID: I20080624000713 |
| Provider Name | Phillip A Coy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215922216 PECOS PAC ID: 6204835689 Enrollment ID: I20080722000332 |
| Provider Name | James J Diffee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518952514 PECOS PAC ID: 3476626698 Enrollment ID: I20080722000345 |
| Provider Name | Glynn M Wittber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720056278 PECOS PAC ID: 5294808424 Enrollment ID: I20080722000452 |
| Provider Name | Jere D Hammond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891763819 PECOS PAC ID: 6800969031 Enrollment ID: I20080722000486 |
| Provider Name | Edwin C Hays |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831167758 PECOS PAC ID: 1355414582 Enrollment ID: I20080722000495 |
| Provider Name | Christopher L Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164490991 PECOS PAC ID: 2264505494 Enrollment ID: I20080722000498 |
| Provider Name | Keith Kirby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417925678 PECOS PAC ID: 5395818439 Enrollment ID: I20080722000622 |
| Provider Name | Denean C Hendren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154399376 PECOS PAC ID: 0648343780 Enrollment ID: I20080722000641 |
| Provider Name | Eric Muir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487621512 PECOS PAC ID: 6901979061 Enrollment ID: I20080722000738 |
| Provider Name | Karen M Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861460222 PECOS PAC ID: 2466525415 Enrollment ID: I20080723000838 |
| Provider Name | Rodney J Staton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184692956 PECOS PAC ID: 0941373997 Enrollment ID: I20080723000880 |
| Provider Name | Amanda Reiter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629046156 PECOS PAC ID: 0547333478 Enrollment ID: I20080724000719 |
| Provider Name | Lisa Rogers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255309795 PECOS PAC ID: 7214000140 Enrollment ID: I20080724000772 |
| Provider Name | Christopher Welsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881662997 PECOS PAC ID: 2466525332 Enrollment ID: I20080725000185 |
| Provider Name | James A Payne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841268588 PECOS PAC ID: 5395818272 Enrollment ID: I20080725000250 |
| Provider Name | Mary E Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386639136 PECOS PAC ID: 7214001023 Enrollment ID: I20080728000610 |
| Provider Name | Ami K Naik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982824561 PECOS PAC ID: 8628142346 Enrollment ID: I20080729000701 |
| Provider Name | Cynthia R Swaim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932177615 PECOS PAC ID: 6901971852 Enrollment ID: I20080812000756 |
| Provider Name | Todd A Teague |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073582110 PECOS PAC ID: 2567537590 Enrollment ID: I20080826000347 |
| Provider Name | Javeria Ahmed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457570475 PECOS PAC ID: 4688737000 Enrollment ID: I20090112000514 |
| Provider Name | Dunwel H Macallister |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326058009 PECOS PAC ID: 7810052982 Enrollment ID: I20090224000749 |
| Provider Name | Timothy C Davenport |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760653505 PECOS PAC ID: 9436209111 Enrollment ID: I20090618000568 |
| Provider Name | William H Woods |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215906359 PECOS PAC ID: 4486794294 Enrollment ID: I20091229000318 |
| Provider Name | Russell S Lents |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649248477 PECOS PAC ID: 0143361741 Enrollment ID: I20100105000178 |
| Provider Name | Robert Gilroy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629063227 PECOS PAC ID: 0143361030 Enrollment ID: I20100114000461 |
| Provider Name | Dana D Hager |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992772255 PECOS PAC ID: 2163564055 Enrollment ID: I20100114000525 |
| Provider Name | Bryan P Tygart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245208800 PECOS PAC ID: 4385643766 Enrollment ID: I20100120000328 |
| Provider Name | Ronald F Taylor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275501561 PECOS PAC ID: 1850433327 Enrollment ID: I20100121000374 |
| Provider Name | William A Preston |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104894799 PECOS PAC ID: 2567504038 Enrollment ID: I20100121000389 |
| Provider Name | Natasha Mahajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174590251 PECOS PAC ID: 5496897514 Enrollment ID: I20100127000475 |
| Provider Name | Michael O Osayamen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346218070 PECOS PAC ID: 4284777814 Enrollment ID: I20100204000736 |
| Provider Name | Evanna Proctor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275500274 PECOS PAC ID: 1052454428 Enrollment ID: I20100208000124 |
| Provider Name | Gary L Mcbride |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982671079 PECOS PAC ID: 7911040399 Enrollment ID: I20100208000177 |
| Provider Name | Michael J Smigielski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306814843 PECOS PAC ID: 6204979693 Enrollment ID: I20100208000280 |
| Provider Name | Joseph L Ragon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275501702 PECOS PAC ID: 1052454477 Enrollment ID: I20100208000533 |
| Provider Name | Edward E Hockaday |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215904487 PECOS PAC ID: 7719020130 Enrollment ID: I20100208000602 |
| Provider Name | Bradley Webb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831168939 PECOS PAC ID: 5092858365 Enrollment ID: I20100209000259 |
| Provider Name | Marshall D Banks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104811249 PECOS PAC ID: 4486797602 Enrollment ID: I20100210000033 |
| Provider Name | James Edward Egan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457346041 PECOS PAC ID: 8820131048 Enrollment ID: I20100210000061 |
| Provider Name | Christopher J Cherry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609861293 PECOS PAC ID: 0547303778 Enrollment ID: I20100210000089 |
| Provider Name | Bethany A Wardlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265566483 PECOS PAC ID: 1355485368 Enrollment ID: I20100215000246 |
| Provider Name | Steven Thorne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871561431 PECOS PAC ID: 7012051089 Enrollment ID: I20100216000024 |
| Provider Name | Jason A Myatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477726487 PECOS PAC ID: 6002941549 Enrollment ID: I20100323000073 |
| Provider Name | Heather R Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952482960 PECOS PAC ID: 2264432061 Enrollment ID: I20100503000007 |
| Provider Name | Tracy Scruggs Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730418427 PECOS PAC ID: 5597896647 Enrollment ID: I20100706000597 |
| Provider Name | William Bradford Adkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386630911 PECOS PAC ID: 7416914734 Enrollment ID: I20100914000277 |
| Provider Name | Anna E Burgess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043483050 PECOS PAC ID: 0941492144 Enrollment ID: I20101006000773 |
| Provider Name | David S Helm |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457551947 PECOS PAC ID: 0941493290 Enrollment ID: I20101020000072 |
| Provider Name | Philip P Julian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154328326 PECOS PAC ID: 6103012497 Enrollment ID: I20101129000947 |
| Provider Name | April M Hays |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932436649 PECOS PAC ID: 9739218629 Enrollment ID: I20101208000715 |
| Provider Name | Kasey M Lax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346565629 PECOS PAC ID: 1153518469 Enrollment ID: I20101213001062 |
| Provider Name | Kenneth Hutchinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093707051 PECOS PAC ID: 4486840774 Enrollment ID: I20101215000401 |
| Provider Name | Brent E Earwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487651402 PECOS PAC ID: 3375739667 Enrollment ID: I20101216000938 |
| Provider Name | Scott Richard Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780638007 PECOS PAC ID: 8921296559 Enrollment ID: I20101227000635 |
| Provider Name | Kelly D Green |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790909489 PECOS PAC ID: 5698964500 Enrollment ID: I20110107000555 |
| Provider Name | James H Crenshaw |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952396541 PECOS PAC ID: 5294915211 Enrollment ID: I20110209000061 |
| Provider Name | Joel D Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043519705 PECOS PAC ID: 1557546223 Enrollment ID: I20110421000766 |
| Provider Name | William Irvin Mariencheck |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114995909 PECOS PAC ID: 2668471046 Enrollment ID: I20110427000025 |
| Provider Name | Kimberly Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841581261 PECOS PAC ID: 5395921779 Enrollment ID: I20110519000388 |
| Provider Name | Staci Thomas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356633721 PECOS PAC ID: 5698951739 Enrollment ID: I20110525000450 |
| Provider Name | Christopher Edward Rickman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386845782 PECOS PAC ID: 1355519729 Enrollment ID: I20110801000009 |
| Provider Name | Leila Nichols |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104159904 PECOS PAC ID: 0345412748 Enrollment ID: I20111006000768 |
| Provider Name | Victor C Nwazue |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861657561 PECOS PAC ID: 1254504962 Enrollment ID: I20111025000394 |
| Provider Name | John F Guidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942354956 PECOS PAC ID: 3678746831 Enrollment ID: I20111103000278 |
| Provider Name | Shahzad Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356528442 PECOS PAC ID: 0143386086 Enrollment ID: I20120709000533 |
| Provider Name | William B Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831431568 PECOS PAC ID: 3274772678 Enrollment ID: I20130614000591 |
| Provider Name | Michael J Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013220292 PECOS PAC ID: 2365356532 Enrollment ID: I20130716000044 |
| Provider Name | Morgan R Wages |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831465582 PECOS PAC ID: 7214179365 Enrollment ID: I20130820000401 |
| Provider Name | Trina E Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265859433 PECOS PAC ID: 4082847454 Enrollment ID: I20140509001062 |
| Provider Name | Deirdre R Morris |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104111699 PECOS PAC ID: 6103040381 Enrollment ID: I20140609001501 |
| Provider Name | Ryan R Nerland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972700748 PECOS PAC ID: 6507919933 Enrollment ID: I20140811001196 |
| Provider Name | Jennifer D Langhans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588086888 PECOS PAC ID: 7810117041 Enrollment ID: I20141009001931 |
| Provider Name | Jenna R Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134523939 PECOS PAC ID: 2567780182 Enrollment ID: I20150410002202 |
| Provider Name | Lisa Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306248182 PECOS PAC ID: 6901125244 Enrollment ID: I20150507001396 |
| Provider Name | Rebecca A Nass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346506615 PECOS PAC ID: 1951549500 Enrollment ID: I20150610002317 |
| Provider Name | Nancy P Utley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295025500 PECOS PAC ID: 3375857816 Enrollment ID: I20150728006406 |
| Provider Name | Adam Lee Summerlin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366686503 PECOS PAC ID: 5395960959 Enrollment ID: I20150826001733 |
| Provider Name | Marcie Daniel Lewis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083960314 PECOS PAC ID: 5193941813 Enrollment ID: I20151201001083 |
| Provider Name | Heather Verduzco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982062873 PECOS PAC ID: 9638474760 Enrollment ID: I20160226000782 |
| Provider Name | Katherine Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003273814 PECOS PAC ID: 3476859596 Enrollment ID: I20160315002254 |
| Provider Name | Joseph L Gooch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659613628 PECOS PAC ID: 2860611415 Enrollment ID: I20160809002909 |
| Provider Name | Jennifer S Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659723823 PECOS PAC ID: 6002101243 Enrollment ID: I20160826000304 |
| Provider Name | Natasha Gupta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235377789 PECOS PAC ID: 9739303173 Enrollment ID: I20161103001748 |
| Provider Name | Jessica Erin Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588003297 PECOS PAC ID: 2769775071 Enrollment ID: I20161129001574 |
| Provider Name | Ashada F Knight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295152569 PECOS PAC ID: 7315166964 Enrollment ID: I20170913002294 |
| Provider Name | Kellee Etghayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891225116 PECOS PAC ID: 0042579526 Enrollment ID: I20180108001584 |
| Provider Name | Chelsea L Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760876163 PECOS PAC ID: 5597078170 Enrollment ID: I20180123003206 |
| Provider Name | Brent A Baldwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366482028 PECOS PAC ID: 3779571492 Enrollment ID: I20180417001704 |
| Provider Name | Mimi Dill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407351794 PECOS PAC ID: 4981959269 Enrollment ID: I20180611001894 |
| Provider Name | Troy D Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396250940 PECOS PAC ID: 8729334321 Enrollment ID: I20180712001853 |
| Provider Name | Lindsay Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912490707 PECOS PAC ID: 3173871928 Enrollment ID: I20180809006209 |
| Provider Name | Kelsey B Dexter |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013233816 PECOS PAC ID: 9335381045 Enrollment ID: I20180911003302 |
| Provider Name | Michael A. Weston |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952539520 PECOS PAC ID: 7618250788 Enrollment ID: I20181011002649 |
| Provider Name | Michelle N Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851882849 PECOS PAC ID: 5496008963 Enrollment ID: I20181030003252 |
| Provider Name | Kiana Justine Brooks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306282033 PECOS PAC ID: 0446504658 Enrollment ID: I20181106002563 |
| Provider Name | Hafsa Zia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992190342 PECOS PAC ID: 7618221516 Enrollment ID: I20181113000489 |
| Provider Name | Justin R Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235670647 PECOS PAC ID: 2365712627 Enrollment ID: I20181220002834 |
| Provider Name | Jay Robert Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396209805 PECOS PAC ID: 4385970953 Enrollment ID: I20190719003094 |
| Provider Name | Tammy Lynn Gathings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679133318 PECOS PAC ID: 2961731823 Enrollment ID: I20190903001323 |
| Provider Name | Susan Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417507435 PECOS PAC ID: 0042542920 Enrollment ID: I20191025000788 |
| Provider Name | Caroline Kiser |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922425560 PECOS PAC ID: 4183993926 Enrollment ID: I20191231001009 |
| Provider Name | Julie A Timberlake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760029870 PECOS PAC ID: 6103251343 Enrollment ID: I20200116002735 |
| Provider Name | Harry Hawthorne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245734813 PECOS PAC ID: 8022368836 Enrollment ID: I20200324003307 |
| Provider Name | Matthew Lee Luttrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174157515 PECOS PAC ID: 5294164109 Enrollment ID: I20200327002301 |
| Provider Name | Meagan Pigue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780216226 PECOS PAC ID: 9234568080 Enrollment ID: I20200331001059 |
| Provider Name | Dana Bush |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659575462 PECOS PAC ID: 7719316009 Enrollment ID: I20200408001278 |
| Provider Name | Nina Lynnette White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790318590 PECOS PAC ID: 3375964646 Enrollment ID: I20200522002177 |
| Provider Name | Carson Kisner |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235558537 PECOS PAC ID: 1052615556 Enrollment ID: I20200710001482 |
| Provider Name | Kathleen Hamrick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902211865 PECOS PAC ID: 5991030405 Enrollment ID: I20200723001216 |
| Provider Name | Kyla O'brien |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881205136 PECOS PAC ID: 9032537618 Enrollment ID: I20200914002190 |
| Provider Name | Jennifer R Putnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326650789 PECOS PAC ID: 3971921321 Enrollment ID: I20200916001933 |
| Provider Name | Seth Patrick Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316441983 PECOS PAC ID: 7214287986 Enrollment ID: I20200923000819 |
| Provider Name | Danielle Tchoungang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881127462 PECOS PAC ID: 8426477175 Enrollment ID: I20200929002110 |
| Provider Name | Anna Kristen Whitaker Younger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013550839 PECOS PAC ID: 9537589700 Enrollment ID: I20201009001553 |
| Provider Name | Holly R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780297291 PECOS PAC ID: 5698195550 Enrollment ID: I20201014001000 |
| Provider Name | Christy Leigh White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295366391 PECOS PAC ID: 6507277597 Enrollment ID: I20201123003385 |
| Provider Name | Whitney Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851904577 PECOS PAC ID: 5799198701 Enrollment ID: I20210113000077 |
| Provider Name | Haley Gardner Milligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164013231 PECOS PAC ID: 3678989464 Enrollment ID: I20210302001943 |
| Provider Name | Brandon R Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225644073 PECOS PAC ID: 1456767920 Enrollment ID: I20210308001554 |
| Provider Name | Haley Amanda Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598341232 PECOS PAC ID: 7911314570 Enrollment ID: I20210326000028 |
| Provider Name | Erin Elizabeth Deakins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235721267 PECOS PAC ID: 4880093921 Enrollment ID: I20210524000550 |
| Provider Name | Lauren Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356848923 PECOS PAC ID: 0840527347 Enrollment ID: I20210716001049 |
| Provider Name | Jamie L Sides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164196531 PECOS PAC ID: 4385041854 Enrollment ID: I20210927000342 |
| Provider Name | Olive Maury Caby Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437812195 PECOS PAC ID: 1557751856 Enrollment ID: I20211130002393 |
| Provider Name | Robert Douglas Fowler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770677502 PECOS PAC ID: 7012012040 Enrollment ID: I20220120000826 |
| Provider Name | Amber Nicole Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689335192 PECOS PAC ID: 9436543261 Enrollment ID: I20220222000249 |
| Provider Name | Jessica Marie Suiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396490116 PECOS PAC ID: 7517352404 Enrollment ID: I20220310002105 |
| Provider Name | Kenneth Brian Rainey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801544184 PECOS PAC ID: 9739575846 Enrollment ID: I20220329001576 |
| Provider Name | Nathan W Nails |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063160489 PECOS PAC ID: 6901292192 Enrollment ID: I20220418000366 |
| Provider Name | Toni Nicole Shearon Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649932294 PECOS PAC ID: 9739566464 Enrollment ID: I20220518000452 |
| Provider Name | Daniel R Fleming |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306330170 PECOS PAC ID: 9739432162 Enrollment ID: I20220719000841 |
| Provider Name | Elizabeth L Hall |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1659806461 PECOS PAC ID: 2668853847 Enrollment ID: I20220719002613 |
| Provider Name | Paul B Mcgeorge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720510456 PECOS PAC ID: 1355611385 Enrollment ID: I20220729002229 |
| Provider Name | Jessica M Ferrell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942790001 PECOS PAC ID: 3375890932 Enrollment ID: I20220805000091 |
| Provider Name | Zada K White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427651157 PECOS PAC ID: 4880072479 Enrollment ID: I20220829002059 |
| Provider Name | Robert S Meek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578053633 PECOS PAC ID: 8426432188 Enrollment ID: I20220829003158 |
| Provider Name | Rachel D Belew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417672593 PECOS PAC ID: 0941671408 Enrollment ID: I20230119001451 |
| Provider Name | Braden Reid Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386350387 PECOS PAC ID: 2264804004 Enrollment ID: I20230204000296 |
| Provider Name | Julie M Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104851120 PECOS PAC ID: 2769434273 Enrollment ID: I20230208001180 |
| Provider Name | Leslie Dawn Meals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225741549 PECOS PAC ID: 4789056953 Enrollment ID: I20230216001375 |
| Provider Name | Chynna M Hatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598212300 PECOS PAC ID: 5092094268 Enrollment ID: I20230323000151 |
| Provider Name | Laura F Ross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710133376 PECOS PAC ID: 6608900915 Enrollment ID: I20230418002201 |
| Provider Name | Deseray S Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114695335 PECOS PAC ID: 6406212588 Enrollment ID: I20230516000259 |
| Provider Name | Anthony J Sneed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437840030 PECOS PAC ID: 9931565744 Enrollment ID: I20230522001601 |
| Provider Name | Joseph R Lamb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578583621 PECOS PAC ID: 7911941034 Enrollment ID: I20230615000931 |
| Provider Name | Michael Gregory Doherty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730154261 PECOS PAC ID: 8123915477 Enrollment ID: I20230623001774 |
| Provider Name | Madelyn Rose Riels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265060479 PECOS PAC ID: 9931520285 Enrollment ID: I20230718003834 |
| Provider Name | Whitney E Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457915670 PECOS PAC ID: 8921331554 Enrollment ID: I20230907003410 |
| Provider Name | Casey Somers Zelus |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801316583 PECOS PAC ID: 8426322546 Enrollment ID: I20230915000112 |
| Provider Name | Jay M Wentworth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447317078 PECOS PAC ID: 0345622957 Enrollment ID: I20230921001303 |
| Provider Name | William J Rozell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215956008 PECOS PAC ID: 9931163565 Enrollment ID: I20230929000148 |
| Provider Name | David L Reynolds |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730107988 PECOS PAC ID: 9133196702 Enrollment ID: I20231023000117 |
| Provider Name | Siddique Akbar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295290328 PECOS PAC ID: 7214388479 Enrollment ID: I20240111003971 |
| Provider Name | Joshua E Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225614159 PECOS PAC ID: 1254740608 Enrollment ID: I20240319001576 |
| Provider Name | Aurora Marcela Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811755671 PECOS PAC ID: 8426496712 Enrollment ID: I20240405000678 |
| Provider Name | Amy K Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003676198 PECOS PAC ID: 9436597572 Enrollment ID: I20240409000969 |
| Provider Name | Reed C Gilbow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124480140 PECOS PAC ID: 7315222718 Enrollment ID: I20240507000583 |
| Provider Name | Jessica Grace Strickland |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154674208 PECOS PAC ID: 9436590338 Enrollment ID: I20240509001452 |
| Provider Name | Felicia C Ingram |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629497425 PECOS PAC ID: 3577945997 Enrollment ID: I20240612000563 |
Better Options Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Old Hickory Blvd Ste 400b, Jackson, TN 38305 Phone: 504-881-6096 | |
Mind And Body Healthcare Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 137 Terrace Pl, Jackson, TN 38301 Phone: 731-435-3060 | |
Southeastern Psychology Group Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3006 Greystone Sq, Jackson, TN 38305 Phone: 731-474-1242 | |
Anu Counseling And Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Lamar Cir Ste 7, Jackson, TN 38305 Phone: 731-608-0618 | |
Fouche Psychological Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3006 Greystone Sq, Jackson, TN 38305 Phone: 860-230-6947 | |
Ashlie Edwards Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 91 Stonebridge Blvd Ste 104, Jackson, TN 38305 Phone: 615-428-8237 | |
Advanced Psychiatric Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Bent Creek Ln, Jackson, TN 38305 Phone: 731-668-6566 Fax: 731-660-8739 |