| Edmondson Pike Family Practice And Walk In Clinic | |
|
5431 Edmondson Pike Nashville TN 37211-5806 | |
| (615) 332-7700 | |
| (615) 332-7707 |
| Full Name | Edmondson Pike Family Practice And Walk In Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 5431 Edmondson Pike, Nashville, Tennessee |
| Authorized Official Name and Position | Jian Wei (MD/PRESIDENT) |
| Authorized Official Contact | 6153327700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmondson Pike Family Practice And Walk In Clinic 5431 Edmondson Pike Nashville TN 37211-5806 Ph: (615) 332-7700 | Edmondson Pike Family Practice And Walk In Clinic 5431 Edmondson Pike Nashville TN 37211-5806 Ph: (615) 332-7700 |
| NPI Number | 1396700415 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 04/03/2018 |
| Medicare PECOS PAC ID | 1254351679 |
|---|---|
| Medicare Enrollment ID | O20051130000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396700415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 38248 (Tennessee) | Primary |
| Provider Name | Jian Wei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710975248 PECOS PAC ID: 9335169754 Enrollment ID: I20051205000051 |
| Provider Name | Eric Shane Porterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992254577 PECOS PAC ID: 3779835467 Enrollment ID: I20181008002011 |
| Provider Name | Maleah Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790102515 PECOS PAC ID: 6507106416 Enrollment ID: I20190312002735 |
| Provider Name | Kerry Jane Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205465556 PECOS PAC ID: 4183044266 Enrollment ID: I20201009002584 |
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