James Clark Childress, | |
457 Vista Dr, Sparta, TN 38583-1360 | |
(931) 738-3383 | |
Not Available |
Full Name | James Clark Childress |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 457 Vista Dr, Sparta, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316509334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 26091 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Thomas Highlands Hospital | Sparta, TN | Hospital |
Cookeville Regional Medical Center | Cookeville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cumberland Family Care P.c. | 8729041835 | 4 |
Entity Name | Cumberland Family Care P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225003809 PECOS PAC ID: 8729041835 Enrollment ID: O20041110000115 |
Mailing Address | Practice Location Address |
---|---|
James Clark Childress, 1609 Farmington Dr, Cookeville, TN 38501-0743 Ph: (931) 644-2463 | James Clark Childress, 457 Vista Dr, Sparta, TN 38583-1360 Ph: (931) 738-3383 |
Lyndsay Herron, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 164 Churchill Dr, Sparta, TN 38583 Phone: 931-485-5995 | |
Jeanne Kay Thompson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Howell St, Sparta, TN 38583 Phone: 931-739-0048 | |
Ms. Laura Allese Hall, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Sam Walton Dr Ste 600, Sparta, TN 38583 Phone: 931-739-4000 | |
Anna V Benningfield, A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 433 Sewell Dr, Sparta, TN 38583 Phone: 931-739-3000 Fax: 931-739-3013 | |
Kelly Lyons, A.P.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 433 Sewell Dr, Sparta, TN 38583 Phone: 931-739-3000 Fax: 931-739-3013 | |
Nikki Realin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 135 Walker St, Sparta, TN 38583 Phone: 931-836-2201 |