| Omni Community Health, Inc. | |
|
4709 Papermill Dr Ste 202 Knoxville TN 37909-1921 | |
| (865) 525-0391 | |
| (865) 525-0393 |
| Full Name | Omni Community Health, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4709 Papermill Dr Ste 202, Knoxville, Tennessee |
| Authorized Official Name and Position | Mark Just (CEO) |
| Authorized Official Contact | 6157263603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Community Health, Inc. 301 S Perimeter Park Dr Suite 210 Nashville TN 37211-4143 Ph: (615) 726-3603 | Omni Community Health, Inc. 4709 Papermill Dr Ste 202 Knoxville TN 37909-1921 Ph: (865) 525-0391 |
| NPI Number | 1881024172 |
|---|---|
| Provider Enumeration Date | 11/22/2013 |
| Last Update Date | 11/05/2020 |
| Certification Date | 11/05/2020 |
| Medicare PECOS PAC ID | 5799078804 |
|---|---|
| Medicare Enrollment ID | O20160727001569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881024172 | NPI | - | NPPES |
| 7100527730 | Medicaid | KY | |
| 7100055600 | Medicaid | KY | |
| Q004198 | Medicaid | TN |
| Provider Name | Cynthia Rector |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942276829 PECOS PAC ID: 5395719975 Enrollment ID: I20040820000076 |
| Provider Name | Ayse B Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538215769 PECOS PAC ID: 8325183189 Enrollment ID: I20100304000051 |
| Provider Name | Daniel Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740386879 PECOS PAC ID: 2567591779 Enrollment ID: I20100526001003 |
| Provider Name | Donna Humbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346422920 PECOS PAC ID: 0648598631 Enrollment ID: I20150423002439 |
| Provider Name | Valorie D Marlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801348719 PECOS PAC ID: 2466733696 Enrollment ID: I20170103000148 |
| Provider Name | Amy White Diller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477929917 PECOS PAC ID: 9234423492 Enrollment ID: I20170215002382 |
| Provider Name | Vickie D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295232916 PECOS PAC ID: 1658628615 Enrollment ID: I20180721000011 |
| Provider Name | Lora A Deckard-smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306098884 PECOS PAC ID: 1759633183 Enrollment ID: I20190831000065 |
| Provider Name | Haley Weathers Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699314476 PECOS PAC ID: 5597194290 Enrollment ID: I20200401000428 |
| Provider Name | Travis Allen Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831731066 PECOS PAC ID: 4183054075 Enrollment ID: I20200416001207 |
| Provider Name | Cynthia L Harmon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992031363 PECOS PAC ID: 8123415338 Enrollment ID: I20220418001475 |
| Provider Name | Corinne Margaret Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699434050 PECOS PAC ID: 8628450459 Enrollment ID: I20220726003622 |
| Provider Name | Hannah Elizabeth Cassetty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265165450 PECOS PAC ID: 7517341225 Enrollment ID: I20220830002003 |
| Provider Name | Jacqueline Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831816545 PECOS PAC ID: 0648648550 Enrollment ID: I20221128001688 |
| Provider Name | Austin Allen Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396461117 PECOS PAC ID: 8921476573 Enrollment ID: I20221201002438 |
| Provider Name | Christopher Dennis Moynihan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659095933 PECOS PAC ID: 8325417165 Enrollment ID: I20221216002194 |
| Provider Name | Katherine E King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467164392 PECOS PAC ID: 8729452735 Enrollment ID: I20230314002260 |
| Provider Name | Ashley Dru Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316603814 PECOS PAC ID: 9234596081 Enrollment ID: I20230609000309 |
| Provider Name | Dina Williams Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578193165 PECOS PAC ID: 1658734975 Enrollment ID: I20230901002890 |
| Provider Name | Trisha Renee Maslakowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457691669 PECOS PAC ID: 4880045517 Enrollment ID: I20240108003268 |
| Provider Name | Kelley Rieder Klungland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477099828 PECOS PAC ID: 1153772801 Enrollment ID: I20240108003643 |
| Provider Name | Johnna Marie Kitts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245578871 PECOS PAC ID: 6608227004 Enrollment ID: I20240110002913 |
| Provider Name | Aubrey Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144004185 PECOS PAC ID: 6800247099 Enrollment ID: I20240112000354 |
| Provider Name | Danielle Raneice Akins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912636077 PECOS PAC ID: 2961855739 Enrollment ID: I20240129000570 |
| Provider Name | Leigh Ann Pray |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285828129 PECOS PAC ID: 2062865678 Enrollment ID: I20240131000959 |
| Provider Name | Myrna K Kemp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841326857 PECOS PAC ID: 6507209202 Enrollment ID: I20240209001645 |
Lane M. Cook, M.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4428 Sutherland Ave, Knoxville, TN 37919 Phone: 865-588-6425 Fax: 865-584-8066 | |
David Friend, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9631 W Emory Rd., Knoxville, TN 37931 Phone: 865-219-9559 | |
Omega Pain Management, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6348 Lonas Spring Dr, Knoxville, TN 37909 Phone: 865-337-5137 Fax: 888-839-6922 | |
The Next Door Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2636 Maryville Pike, Knoxville, TN 37920 Phone: 865-934-2890 Fax: 865-934-2894 | |
Mckinnon Mental Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6626 Central Avenue Pike, Knoxville, TN 37912 Phone: 865-235-9742 | |
Rha Health Services Tn Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9041 Executive Park Dr Ste 705, Knoxville, TN 37923 Phone: 895-769-7491 | |
Weatherstone Collaborative Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 Ebenezer Rd, Knoxville, TN 37923 Phone: 865-272-9709 |