Chota Community Health Services | |
1206 Highway 411 Vonore TN 37885-2455 | |
(423) 884-7271 | |
(423) 884-3277 |
Full Name | Chota Community Health Services |
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Speciality | Clinic/Center |
Location | 1206 Highway 411, Vonore, Tennessee |
Authorized Official Name and Position | Kay Wright (CREDENTIALING) |
Authorized Official Contact | 4234422622 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chota Community Health Services 1206 Highway 411 Vonore TN 37885-2455 Ph: (423) 884-7271 | Chota Community Health Services 1206 Highway 411 Vonore TN 37885-2455 Ph: (423) 884-7271 |
NPI Number | 1518912955 |
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Provider Enumeration Date | 05/24/2006 |
Last Update Date | 02/04/2013 |
Medicare PECOS PAC ID | 9436130135 |
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Medicare Enrollment ID | O20040527001293 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518912955 | NPI | - | NPPES |
0441904 | Medicaid | TN | |
3724536 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Janet C Binkley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407893852 PECOS PAC ID: 7618963026 Enrollment ID: I20040421001743 |
Provider Name | Thomas R Cox |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811930308 PECOS PAC ID: 1951383827 Enrollment ID: I20040603001195 |
Provider Name | Janet M Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376585356 PECOS PAC ID: 4183607013 Enrollment ID: I20040610001380 |
Provider Name | Mark S Kryter |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376569988 PECOS PAC ID: 5597740043 Enrollment ID: I20040621000417 |
Provider Name | Jennifer C Mckenzie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245273796 PECOS PAC ID: 2961488325 Enrollment ID: I20040625001062 |
Provider Name | Juliana Williamson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831183235 PECOS PAC ID: 7517996333 Enrollment ID: I20060714000023 |
Provider Name | Jan Stewart |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164649083 PECOS PAC ID: 0446351209 Enrollment ID: I20070723000818 |
Provider Name | Joel M Burroughs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710951785 PECOS PAC ID: 5799851127 Enrollment ID: I20080908000490 |
Provider Name | William J Thornton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619123676 PECOS PAC ID: 6901934090 Enrollment ID: I20100512000104 |
Provider Name | Amanda Nichole Smithgall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689905622 PECOS PAC ID: 2264565753 Enrollment ID: I20100804000805 |
Provider Name | Michelle Portman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366585804 PECOS PAC ID: 1850560020 Enrollment ID: I20110803000781 |
Provider Name | Cheryl L Racine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407115108 PECOS PAC ID: 4688839251 Enrollment ID: I20120705000143 |
Provider Name | Terry L Howard |
---|---|
Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1003947128 PECOS PAC ID: 6901059211 Enrollment ID: I20130118000216 |
Provider Name | Heather M Bolinger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396184081 PECOS PAC ID: 5092957977 Enrollment ID: I20130805000884 |
Provider Name | Robin Harding |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881823136 PECOS PAC ID: 1052555406 Enrollment ID: I20130925000211 |
Provider Name | Arrah Jean Ford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457584625 PECOS PAC ID: 5799915856 Enrollment ID: I20140311001633 |
Provider Name | Charles A Cyrus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841614815 PECOS PAC ID: 1658504972 Enrollment ID: I20140512000955 |
Provider Name | Barbara E Burns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437576451 PECOS PAC ID: 4880810316 Enrollment ID: I20140718001389 |
Provider Name | Shelly L Bingham |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154507721 PECOS PAC ID: 8224355581 Enrollment ID: I20150325001185 |
Provider Name | Richard K Fisher |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1760413678 PECOS PAC ID: 2860794161 Enrollment ID: I20160104001467 |
Provider Name | Katy Tilley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457712424 PECOS PAC ID: 2163713322 Enrollment ID: I20160617000564 |
Provider Name | Jodi Watson Rose |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124494513 PECOS PAC ID: 4981995172 Enrollment ID: I20160617001700 |
Provider Name | Mary K Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730564113 PECOS PAC ID: 3476731548 Enrollment ID: I20160629001020 |
Provider Name | Tabitha Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053763060 PECOS PAC ID: 0749577831 Enrollment ID: I20160916001057 |
Provider Name | Erin Grace Lay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851835524 PECOS PAC ID: 7012298177 Enrollment ID: I20170103001526 |
Provider Name | Julie A Sutter |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093076655 PECOS PAC ID: 5890077291 Enrollment ID: I20170119001891 |
Provider Name | Vicki Lynn Forester |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407307531 PECOS PAC ID: 7911266259 Enrollment ID: I20180112002594 |
Provider Name | Laura Vacheresse |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144610304 PECOS PAC ID: 9638422892 Enrollment ID: I20181105003578 |
Provider Name | Megan H Paz |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1730569716 PECOS PAC ID: 6709199672 Enrollment ID: I20190107003115 |
Provider Name | Samantha Burns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043870157 PECOS PAC ID: 9436488012 Enrollment ID: I20190906001413 |
Provider Name | Matthew N Harvey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275152563 PECOS PAC ID: 9032532973 Enrollment ID: I20200709003666 |
Provider Name | Laura Dewalt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396275228 PECOS PAC ID: 2062783145 Enrollment ID: I20200812002064 |
Provider Name | Daniel Lloyd |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407382070 PECOS PAC ID: 0840561296 Enrollment ID: I20200924003134 |
Provider Name | Jordan M Newman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841885886 PECOS PAC ID: 0648678680 Enrollment ID: I20211006001007 |
Provider Name | Megan White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508587908 PECOS PAC ID: 4486020880 Enrollment ID: I20221025003396 |
Provider Name | Mary A Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962129361 PECOS PAC ID: 8628440369 Enrollment ID: I20230207001393 |
Provider Name | Jessica M Burress |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265115950 PECOS PAC ID: 7315391075 Enrollment ID: I20230928002413 |
Provider Name | Katie L Wattenbarger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437722337 PECOS PAC ID: 7911341300 Enrollment ID: I20240213003738 |
Provider Name | Lindsey E Ivester |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1821756024 PECOS PAC ID: 8224472535 Enrollment ID: I20240214003312 |
Provider Name | Svetlana Grinberg |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396146486 PECOS PAC ID: 4284994252 Enrollment ID: I20240301000452 |
Stephen D. Pershing Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Mountain View Dr, Suite 200, Vonore, TN 37885 Phone: 423-884-2308 Fax: 423-884-2929 | |
Tellico West Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Deer Crossing, Vonore, TN 37885 Phone: 423-884-6958 Fax: 423-884-6959 |