| Agape Family Health, Llc | |
|
915 S Garden St Columbia TN 38401-3205 | |
| (931) 548-8090 | |
| (931) 548-8110 |
| Full Name | Agape Family Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 915 S Garden St, Columbia, Tennessee |
| Authorized Official Name and Position | Katherine Ring (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 9317972365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Family Health, Llc 915 S Garden St Columbia TN 38401-3205 Ph: (931) 548-8090 | Agape Family Health, Llc 915 S Garden St Columbia TN 38401-3205 Ph: (931) 548-8090 |
| NPI Number | 1073066205 |
|---|---|
| Provider Enumeration Date | 07/23/2016 |
| Last Update Date | 07/24/2023 |
| Medicare PECOS PAC ID | 3072896943 |
|---|---|
| Medicare Enrollment ID | O20170220002352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073066205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer R Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821261884 PECOS PAC ID: 4284704156 Enrollment ID: I20080604000097 |
| Provider Name | George William Joseph Wollas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588856041 PECOS PAC ID: 6103999784 Enrollment ID: I20080715000363 |
| Provider Name | Jessica Elaine Boshers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902200587 PECOS PAC ID: 4385969799 Enrollment ID: I20150205002162 |
| Provider Name | Katherine Ring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740669191 PECOS PAC ID: 1153621503 Enrollment ID: I20151208000726 |
| Provider Name | Megan Stanfill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386987634 PECOS PAC ID: 3870876758 Enrollment ID: I20170221000341 |
| Provider Name | Savanna M Jenks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801412887 PECOS PAC ID: 6103216338 Enrollment ID: I20211202001700 |
| Provider Name | Molly Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831898188 PECOS PAC ID: 1658746946 Enrollment ID: I20230419002180 |
| Provider Name | Jeannie Auville Seaborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063291326 PECOS PAC ID: 1759737596 Enrollment ID: I20231030003718 |
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