Cosby Center - Medicare Primary Care in Newport, TN

Cosby Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Newport, Tennessee. The current practice location for Cosby Center is 103 Wilton Springs Road, Newport, Tennessee. For appointments, you can reach them via phone at (423) 487-2222. The mailing address for Cosby Center is 103 Wilton Springs Road, Newport, Tennessee and phone number is (423) 487-2222.

Cosby Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1962443697. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (423) 487-2222.

Contact Information

Cosby Center
103 Wilton Springs Road
Newport
TN 37821
(423) 487-2222
(423) 623-7787

Map and Direction


Primary Care Clinic Profile

Full NameCosby Center
SpecialityClinic/Center
Location103 Wilton Springs Road, Newport, Tennessee
Authorized Official Name and PositionLarry A Stanifer (CEO)
Authorized Official Contact8655090055
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cosby Center
103 Wilton Springs Road
Newport
TN 37821

Ph: (423) 487-2222
Cosby Center
103 Wilton Springs Road
Newport
TN 37821

Ph: (423) 487-2222

NPI Details:

NPI Number1962443697
Provider Enumeration Date06/10/2006
Last Update Date02/02/2010

Medicare PECOS Information:

Medicare PECOS PAC ID1456384080
Medicare Enrollment IDO20050914001081

Medical Identifiers

Medical identifiers for Cosby Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962443697NPI-NPPES
0441859MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cosby Center acts as a billing entity for following providers:
Provider NameLawrence J Mathers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699745976
PECOS PAC ID: 2264423805
Enrollment ID: I20040521000332
Provider NameDeana R Brotherton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508836842
PECOS PAC ID: 4789653049
Enrollment ID: I20041002000100
Provider NameMelissa R Lamb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013998038
PECOS PAC ID: 3971522210
Enrollment ID: I20051116000566
Provider NameLucinda Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528003886
PECOS PAC ID: 4385679117
Enrollment ID: I20070308000428
Provider NamePatricia Conner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053431973
PECOS PAC ID: 2961593736
Enrollment ID: I20070808000389
Provider NameRichard F Connelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043280340
PECOS PAC ID: 4183817018
Enrollment ID: I20101022001015
Provider NameRachel A Mathers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194796177
PECOS PAC ID: 1153515721
Enrollment ID: I20101028000440
Provider NameRachael Mckinney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790079614
PECOS PAC ID: 1456529361
Enrollment ID: I20110720000550
Provider NameNathan Dewitt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659528743
PECOS PAC ID: 6305023110
Enrollment ID: I20120822000177
Provider NameMegan Faye Dewitt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144485350
PECOS PAC ID: 4486831419
Enrollment ID: I20120822000269
Provider NameKristi D Bradshaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861833436
PECOS PAC ID: 4183867757
Enrollment ID: I20130829000341
Provider NameJessica Amanda Duncan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023440195
PECOS PAC ID: 9436393824
Enrollment ID: I20130925000741
Provider NameChance Linkous
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285034298
PECOS PAC ID: 5890917033
Enrollment ID: I20141104000793
Provider NameKristi Ryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811393374
PECOS PAC ID: 3072832831
Enrollment ID: I20150429002530
Provider NameMaureen Carroll Smith
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1871954420
PECOS PAC ID: 4385942390
Enrollment ID: I20160407000595
Provider NameEmily Hensley Barnett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134605124
PECOS PAC ID: 9830441492
Enrollment ID: I20181009002169
Provider NameBrittany D Dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649750811
PECOS PAC ID: 0345587218
Enrollment ID: I20190130002551
Provider NameBrandi Michelle Haynes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053895474
PECOS PAC ID: 8628316262
Enrollment ID: I20190206002911
Provider NameAmy L Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114557550
PECOS PAC ID: 9739588070
Enrollment ID: I20210519000376
Provider NameCallie Rose Pittard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891287744
PECOS PAC ID: 6305192519
Enrollment ID: I20220201001198
Provider NameAshley Diane Leon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326496944
PECOS PAC ID: 5991175697
Enrollment ID: I20221221000123
Provider NameJaney Chon
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1114534617
PECOS PAC ID: 5395105191
Enrollment ID: I20230712000718
Provider NameLourdes R Borges Ruiz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104885391
PECOS PAC ID: 6901861632
Enrollment ID: I20230816004118
Provider NameAna Lucia Leon-arango
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013544634
PECOS PAC ID: 6800218454
Enrollment ID: I20230831001025
Provider NameSharmian Wyrick Mccoy
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1295938108
PECOS PAC ID: 9931550076
Enrollment ID: I20240112002001
Provider NameJennifer Galyon
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1851063770
PECOS PAC ID: 4688017809
Enrollment ID: I20240205002995
Provider NameKathryn Hunt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538329248
PECOS PAC ID: 3072838424
Enrollment ID: I20240212000768
Provider NameAnna Josephine Timm
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1043075823
PECOS PAC ID: 2860834900
Enrollment ID: I20240521003486

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.