| Clinica Camellia | |
|
3030 Covington Pike Suite 200 Memphis TN 38128-5048 | |
| (901) 432-5727 | |
| (901) 384-6309 |
| Full Name | Clinica Camellia |
|---|---|
| Speciality | Family Medicine |
| Location | 3030 Covington Pike, Memphis, Tennessee |
| Authorized Official Name and Position | Camellia Rodney (PRESIDENT) |
| Authorized Official Contact | 9017530423 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Camellia 3030 Covington Pike Suite 200 Memphis TN 38128-5048 Ph: (901) 432-5727 | Clinica Camellia 3030 Covington Pike Suite 200 Memphis TN 38128-5048 Ph: (901) 432-5727 |
| NPI Number | 1609169713 |
|---|---|
| Provider Enumeration Date | 05/23/2011 |
| Last Update Date | 06/01/2011 |
| Medicare PECOS PAC ID | 0547439606 |
|---|---|
| Medicare Enrollment ID | O20110805000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609169713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13931 (Tennessee) | Primary |
| 207V00000X | Obstetrics & Gynecology | 40403 (Tennessee) | Secondary |
| 208000000X | Pediatrics | 40403 (Tennessee) | Secondary |
| Provider Name | William M Rodney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750373957 PECOS PAC ID: 4183529464 Enrollment ID: I20050214000794 |
| Provider Name | Carla G Lyn-boswell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366472144 PECOS PAC ID: 2062512411 Enrollment ID: I20070713000483 |
| Provider Name | Rickey R Carson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356333561 PECOS PAC ID: 7911095401 Enrollment ID: I20071116000353 |
| Provider Name | Ikechukwu U Emereuwaonu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164664066 PECOS PAC ID: 6709926413 Enrollment ID: I20100830000259 |
| Provider Name | John M Rodney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891944708 PECOS PAC ID: 4789711300 Enrollment ID: I20110216000233 |
| Provider Name | Sara B Bush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215165311 PECOS PAC ID: 1355527888 Enrollment ID: I20121126000434 |
| Provider Name | Rebecca Lynn Burson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114243607 PECOS PAC ID: 5799928412 Enrollment ID: I20130828000796 |
| Provider Name | Gary Willers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255625422 PECOS PAC ID: 6204053218 Enrollment ID: I20150406001934 |
| Provider Name | Joshua N Splinter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306109228 PECOS PAC ID: 1355661158 Enrollment ID: I20160309000792 |
| Provider Name | Esther Ern-pei Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912341967 PECOS PAC ID: 5092954727 Enrollment ID: I20160728000054 |
| Provider Name | Benjamin Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629482419 PECOS PAC ID: 8820393861 Enrollment ID: I20161005001861 |
| Provider Name | Joan R Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306008008 PECOS PAC ID: 1557515186 Enrollment ID: I20161012001135 |
| Provider Name | Sonia Z Guirgis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902207616 PECOS PAC ID: 3870873920 Enrollment ID: I20161206001894 |
| Provider Name | Austin Barrett Plumlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922442813 PECOS PAC ID: 4789908690 Enrollment ID: I20170301001655 |
| Provider Name | Amanda Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114330420 PECOS PAC ID: 7012296197 Enrollment ID: I20171101003055 |
| Provider Name | John H Pymm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336552306 PECOS PAC ID: 0345465068 Enrollment ID: I20171108003375 |
| Provider Name | Deborah S Roquiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821402561 PECOS PAC ID: 5395000145 Enrollment ID: I20180525000703 |
| Provider Name | Sheena L Dover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467715169 PECOS PAC ID: 1052631512 Enrollment ID: I20180913003232 |
| Provider Name | Tabitha Davies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174938609 PECOS PAC ID: 3375847288 Enrollment ID: I20181012002310 |
| Provider Name | Noelle Prescott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093163925 PECOS PAC ID: 7911299474 Enrollment ID: I20191205001236 |
| Provider Name | Aimmee S Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174059414 PECOS PAC ID: 2567887102 Enrollment ID: I20200730000629 |
| Provider Name | Spencer Deig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518497981 PECOS PAC ID: 6901175397 Enrollment ID: I20200924000882 |
| Provider Name | Stephanie Bianca Espinoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083134720 PECOS PAC ID: 1951670975 Enrollment ID: I20201023000380 |
| Provider Name | Marie O Hennelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912393539 PECOS PAC ID: 0042526410 Enrollment ID: I20210310000921 |
| Provider Name | Travisha Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447738810 PECOS PAC ID: 9739582610 Enrollment ID: I20210729002776 |
| Provider Name | Tracey Y Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912369281 PECOS PAC ID: 8123383809 Enrollment ID: I20210806000057 |
| Provider Name | Paulo Roberto K Michelini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164916706 PECOS PAC ID: 1355749888 Enrollment ID: I20211013001394 |
| Provider Name | Jason Blair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609371830 PECOS PAC ID: 9436547676 Enrollment ID: I20211021000363 |
| Provider Name | Indira L Perales Trejo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285121558 PECOS PAC ID: 9436549995 Enrollment ID: I20211124001631 |
| Provider Name | Laxmichaya D Sawant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598250599 PECOS PAC ID: 2365832284 Enrollment ID: I20211209000045 |
| Provider Name | Christen L Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982378683 PECOS PAC ID: 6800282716 Enrollment ID: I20220401000455 |
| Provider Name | Martina B Swinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215498316 PECOS PAC ID: 9234514498 Enrollment ID: I20220923002663 |
| Provider Name | Hoon Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043773674 PECOS PAC ID: 5193052363 Enrollment ID: I20221006002181 |
| Provider Name | Isaac Santiago Sairs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922661065 PECOS PAC ID: 4688089824 Enrollment ID: I20221015000049 |
| Provider Name | Stefania Baccino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710474655 PECOS PAC ID: 9436414646 Enrollment ID: I20221026000046 |
| Provider Name | Fabiola Coromoto Cardozo Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578123956 PECOS PAC ID: 5698000271 Enrollment ID: I20230117002692 |
| Provider Name | Joshua D Echeverria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578184396 PECOS PAC ID: 0042673220 Enrollment ID: I20230906001276 |
| Provider Name | Kayelinda M Heiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710515366 PECOS PAC ID: 8426412792 Enrollment ID: I20230920000184 |
| Provider Name | George R Rollins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912523861 PECOS PAC ID: 8820443088 Enrollment ID: I20231009003051 |
| Provider Name | Ashley H Hawes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992283972 PECOS PAC ID: 4486036944 Enrollment ID: I20240322003445 |
Christ Commuity Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3360 S 3rd St, Memphis, TN 38109 Phone: 901-842-3160 Fax: 901-842-2360 | |
Elite Patient Care Of Tennessee Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Peabody Pl Ste 150, Memphis, TN 38103 Phone: 337-408-0797 | |
Preventivemd, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1407 Union Ave Ste 305, Memphis, TN 38104 Phone: 901-609-2444 | |
Jerry M Holley Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4100 Austin Peay Hwy, Memphis, TN 38128 Phone: 901-486-1151 Fax: 901-844-1439 | |
Spirit Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1331 Union Ave Ste 1240, Memphis, TN 38104 Phone: 901-832-6734 | |
Embrace Community Development Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1419 Breedlove St, Memphis, TN 38107 Phone: 901-484-3357 | |
Peabody Family Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Eastmoreland Avenue, Suite 150, Memphis, TN 38104 Phone: 901-725-0648 Fax: 901-725-1037 |