| Centerwell Senior Primary Care-tusculum | |
|
4901 Nolensville Pike Nashville TN 37211-5411 | |
| (615) 575-3783 | |
| (877) 259-8932 |
| Full Name | Centerwell Senior Primary Care-tusculum |
|---|---|
| Speciality | Internal Medicine |
| Location | 4901 Nolensville Pike, Nashville, Tennessee |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care-tusculum 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care-tusculum 4901 Nolensville Pike Nashville TN 37211-5411 Ph: (615) 575-3783 |
| NPI Number | 1649900135 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 07/03/2024 |
| Medicare PECOS PAC ID | 6709261712 |
|---|---|
| Medicare Enrollment ID | O20220912002212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649900135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | David M Sellers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649293390 PECOS PAC ID: 8820074214 Enrollment ID: I20040626000083 |
| Provider Name | Shari N Hollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740407352 PECOS PAC ID: 0446348601 Enrollment ID: I20071121000541 |
| Provider Name | David R Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861686834 PECOS PAC ID: 0244312627 Enrollment ID: I20080123000862 |
| Provider Name | Sabrina T Finney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285716944 PECOS PAC ID: 5193809754 Enrollment ID: I20080221000287 |
| Provider Name | Mwaka A Butungane-sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396098380 PECOS PAC ID: 9931351277 Enrollment ID: I20121212000382 |
| Provider Name | Vallaree N Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326316340 PECOS PAC ID: 5193967933 Enrollment ID: I20130807000940 |
| Provider Name | Ashlie Elaine Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609278993 PECOS PAC ID: 1456669225 Enrollment ID: I20150928001481 |
| Provider Name | Madison Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831687003 PECOS PAC ID: 0345574422 Enrollment ID: I20190624001342 |
| Provider Name | Halle Mylinda Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992303200 PECOS PAC ID: 7315346053 Enrollment ID: I20210528000984 |
| Provider Name | Erica Lache' Savage-jeter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275657694 PECOS PAC ID: 9739234584 Enrollment ID: I20221004002916 |
| Provider Name | Ianna Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437740818 PECOS PAC ID: 2668844317 Enrollment ID: I20230207001821 |
| Provider Name | Ovidiu Ghita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518228121 PECOS PAC ID: 3678891660 Enrollment ID: I20230323000274 |
| Provider Name | Maureen Schroettner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326617515 PECOS PAC ID: 2466855176 Enrollment ID: I20230706001857 |
| Provider Name | Bethany Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730542663 PECOS PAC ID: 2466718259 Enrollment ID: I20230710002645 |
| Provider Name | Laura Ling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598225492 PECOS PAC ID: 1456735802 Enrollment ID: I20230726002587 |
| Provider Name | Anitha Mullangi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972722254 PECOS PAC ID: 6800924788 Enrollment ID: I20230811003162 |
| Provider Name | Robert Klaasen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760457329 PECOS PAC ID: 7911052972 Enrollment ID: I20230905001421 |
| Provider Name | Tracy Elam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699957704 PECOS PAC ID: 2062878754 Enrollment ID: I20231129001508 |
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Sterling Primary Care Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2400 Patterson Street, Suite 500, Nashville, TN 37203 Phone: 615-327-7400 Fax: 615-327-4818 | |
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