| 45 Urgent Care, P.c. | |
|
149 N Star Dr Jackson TN 38305-5634 | |
| (731) 554-0571 | |
| (731) 664-7161 |
| Full Name | 45 Urgent Care, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 149 N Star Dr, Jackson, Tennessee |
| Authorized Official Name and Position | Shannon L Bone (PRESIDENT) |
| Authorized Official Contact | 7316646998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 45 Urgent Care, P.c. 2012 Greystone Sq Jackson TN 38305-3575 Ph: (731) 664-6998 | 45 Urgent Care, P.c. 149 N Star Dr Jackson TN 38305-5634 Ph: (731) 554-0571 |
| NPI Number | 1912326539 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 03/13/2015 |
| Medicare PECOS PAC ID | 8628299617 |
|---|---|
| Medicare Enrollment ID | O20141015002196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912326539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34403 (Tennessee) | Primary |
| Provider Name | Mark W Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144200965 PECOS PAC ID: 7810925179 Enrollment ID: I20050728001096 |
| Provider Name | Lisa K Medlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073587283 PECOS PAC ID: 8224045596 Enrollment ID: I20060310000327 |
| Provider Name | Mary B Tillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972855724 PECOS PAC ID: 3375794126 Enrollment ID: I20121105000118 |
| Provider Name | Meredith M Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427301522 PECOS PAC ID: 5991958837 Enrollment ID: I20121231000231 |
| Provider Name | Stephanie Jill Toney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205358090 PECOS PAC ID: 8224394440 Enrollment ID: I20171103001983 |
| Provider Name | Brittany R Rauchle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992223473 PECOS PAC ID: 7810255387 Enrollment ID: I20171212000469 |
| Provider Name | Bianca Wade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710390018 PECOS PAC ID: 6204177405 Enrollment ID: I20190417001123 |
| Provider Name | Glenn D Babus |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1700867413 PECOS PAC ID: 8022007640 Enrollment ID: I20200511002042 |
| Provider Name | Lauren K Putman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902542426 PECOS PAC ID: 1759761570 Enrollment ID: I20220711000430 |
Therapy & Learning Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32 Garland Dr, Jackson, TN 38305 Phone: 731-668-3322 Fax: 731-664-2491 | |
Wellness Clinic And Family Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Meridian Springs Dr, Jackson, TN 38301 Phone: 731-256-0526 Fax: 731-256-1720 | |
Ultimate Health Clinic North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Murray Guard Dr Ste B, Jackson, TN 38305 Phone: 731-660-0887 Fax: 731-660-9996 | |
West Tennessee Medical Group Ut Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-660-8739 | |
Ultra Health Providers Ii Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton Cv, Jackson, TN 38305 Phone: 731-394-1145 | |
The Medical Clinic Of Jackson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 587 Skyline Dr, Jackson, TN 38301 Phone: 731-424-8922 Fax: 731-423-2922 | |
West Tennessee Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-660-8730 Fax: 731-660-8739 |