| Elite Patient Care Of Tennessee Pllc | |
|
100 Peabody Pl Ste 150 Memphis TN 38103-3687 | |
| (337) 408-0797 | |
| Not Available |
| Full Name | Elite Patient Care Of Tennessee Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Peabody Pl Ste 150, Memphis, Tennessee |
| Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Patient Care Of Tennessee Pllc Po Box 108810 Oklahoma City OK 73101-8810 Ph: (337) 408-0797 | Elite Patient Care Of Tennessee Pllc 100 Peabody Pl Ste 150 Memphis TN 38103-3687 Ph: (337) 408-0797 |
| NPI Number | 1003575838 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 10/02/2023 |
| Medicare PECOS PAC ID | 0042603656 |
|---|---|
| Medicare Enrollment ID | O20220203000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003575838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Emily R Laird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770532582 PECOS PAC ID: 5799772687 Enrollment ID: I20040430000926 |
| Provider Name | Johnenne Evette Whitmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477627016 PECOS PAC ID: 9537158530 Enrollment ID: I20040506000741 |
| Provider Name | Kaye W Borgognoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366589830 PECOS PAC ID: 4880782234 Enrollment ID: I20071119000132 |
| Provider Name | Carolyn Marcum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801067251 PECOS PAC ID: 3476631656 Enrollment ID: I20080429000510 |
| Provider Name | Felesha R Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306262993 PECOS PAC ID: 7517187263 Enrollment ID: I20141001002087 |
| Provider Name | Stephanie Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770993412 PECOS PAC ID: 3476873480 Enrollment ID: I20160411001072 |
| Provider Name | Sherrika Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144681594 PECOS PAC ID: 1254639875 Enrollment ID: I20160415000742 |
| Provider Name | Tina Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043724347 PECOS PAC ID: 4880958750 Enrollment ID: I20180430001523 |
| Provider Name | Amber Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487196069 PECOS PAC ID: 3274803036 Enrollment ID: I20181106002494 |
| Provider Name | Amanda R Mcgriff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508332974 PECOS PAC ID: 7012251671 Enrollment ID: I20181207002069 |
| Provider Name | Nastassia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861965667 PECOS PAC ID: 4688914252 Enrollment ID: I20190318001414 |
| Provider Name | Melody Felts Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487135026 PECOS PAC ID: 4385079086 Enrollment ID: I20200126000038 |
| Provider Name | Amber D. Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891249389 PECOS PAC ID: 5092075069 Enrollment ID: I20210420001272 |
| Provider Name | Stacie Sowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710579388 PECOS PAC ID: 0648686717 Enrollment ID: I20210426000294 |
| Provider Name | Kiwana Nicole Derrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871105320 PECOS PAC ID: 5294132478 Enrollment ID: I20210930003005 |
| Provider Name | Shenif Ladak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376948604 PECOS PAC ID: 5890018501 Enrollment ID: I20220204001818 |
| Provider Name | Sara Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295324895 PECOS PAC ID: 0143625111 Enrollment ID: I20220404001782 |
| Provider Name | Vlastimil Smetka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497974273 PECOS PAC ID: 1658424825 Enrollment ID: I20220412001824 |
| Provider Name | Latoria N. Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245820901 PECOS PAC ID: 9931596327 Enrollment ID: I20220504001224 |
| Provider Name | Ashleigh Huntsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326438466 PECOS PAC ID: 8628395001 Enrollment ID: I20221212002348 |
| Provider Name | Lisa Rowland Kenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508089731 PECOS PAC ID: 2466504956 Enrollment ID: I20230801000879 |
| Provider Name | Dominique Pinilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124103965 PECOS PAC ID: 4880604446 Enrollment ID: I20230821000371 |
| Provider Name | Lisa Michelle Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821732488 PECOS PAC ID: 2567812720 Enrollment ID: I20231229001771 |
| Provider Name | Brian Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366678963 PECOS PAC ID: 0547426223 Enrollment ID: I20240213001039 |
| Provider Name | Ruth Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295392421 PECOS PAC ID: 3779818737 Enrollment ID: I20240311000884 |
| Provider Name | Krista Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780203075 PECOS PAC ID: 7315343571 Enrollment ID: I20240417003179 |
| Provider Name | Britney Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326805441 PECOS PAC ID: 9335589985 Enrollment ID: I20240430000147 |
| Provider Name | Anika Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659762458 PECOS PAC ID: 4284075326 Enrollment ID: I20240507003675 |
| Provider Name | Bridget Nore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306508262 PECOS PAC ID: 8426447988 Enrollment ID: I20240520002434 |
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 | |
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 |