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103 Wilton Springs Road Newport TN 37821 | |
(423) 487-2222 | |
(423) 623-7787 |
Full Name | |
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Speciality | Clinic/Center |
Location | 103 Wilton Springs Road, Newport, Tennessee |
Authorized Official Name and Position | Larry A Stanifer (CEO) |
Authorized Official Contact | 8655090055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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103 Wilton Springs Road Newport TN 37821 Ph: (423) 487-2222 | 103 Wilton Springs Road Newport TN 37821 Ph: (423) 487-2222 |
NPI Number | 1962443697 |
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Provider Enumeration Date | 06/10/2006 |
Last Update Date | 02/02/2010 |
Medicare PECOS PAC ID | 1456384080 |
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Medicare Enrollment ID | O20050914001081 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962443697 | NPI | - | NPPES |
0441859 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Lawrence J Mathers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699745976 PECOS PAC ID: 2264423805 Enrollment ID: I20040521000332 |
Provider Name | Lucinda Hicks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528003886 PECOS PAC ID: 4385679117 Enrollment ID: I20070308000428 |
Provider Name | Richard F Connelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043280340 PECOS PAC ID: 4183817018 Enrollment ID: I20101022001015 |
Provider Name | Rachel A Mathers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194796177 PECOS PAC ID: 1153515721 Enrollment ID: I20101028000440 |
Provider Name | Rachael Mckinney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790079614 PECOS PAC ID: 1456529361 Enrollment ID: I20110720000550 |
Provider Name | Kristi D Bradshaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861833436 PECOS PAC ID: 4183867757 Enrollment ID: I20130829000341 |
Provider Name | Chance Linkous |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285034298 PECOS PAC ID: 5890917033 Enrollment ID: I20141104000793 |
Provider Name | Kristi Ryan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811393374 PECOS PAC ID: 3072832831 Enrollment ID: I20150429002530 |
Provider Name | Maureen Carroll Smith |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1871954420 PECOS PAC ID: 4385942390 Enrollment ID: I20160407000595 |
Provider Name | Brittany D Dixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649750811 PECOS PAC ID: 0345587218 Enrollment ID: I20190130002551 |
Provider Name | Brandi Michelle Haynes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053895474 PECOS PAC ID: 8628316262 Enrollment ID: I20190206002911 |
Provider Name | Callie Rose Pittard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891287744 PECOS PAC ID: 6305192519 Enrollment ID: I20220201001198 |
Provider Name | Janey Chon |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1114534617 PECOS PAC ID: 5395105191 Enrollment ID: I20230712000718 |
Provider Name | Ana Lucia Leon-arango |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013544634 PECOS PAC ID: 6800218454 Enrollment ID: I20230831001025 |
Provider Name | Sharmian Wyrick Mccoy |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295938108 PECOS PAC ID: 9931550076 Enrollment ID: I20240112002001 |
Provider Name | Jennifer Galyon |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1851063770 PECOS PAC ID: 4688017809 Enrollment ID: I20240205002995 |
Provider Name | Kathryn Hunt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538329248 PECOS PAC ID: 3072838424 Enrollment ID: I20240212000768 |
Provider Name | Anna Josephine Timm |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1043075823 PECOS PAC ID: 2860834900 Enrollment ID: I20240521003486 |
Provider Name | Michelle Heathcock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265019277 PECOS PAC ID: 7911308382 Enrollment ID: I20241023002570 |
Healthstar Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 4th St, Newport, TN 37821 Phone: 423-623-6240 Fax: 423-623-0102 | |
James R. Williams M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Heritage Blvd, Newport, TN 37821 Phone: 423-623-0247 | |
The Family Practice Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 4th St, Newport, TN 37821 Phone: 423-623-6240 Fax: 423-623-0102 | |