| Family Practice Center Of Tullahoma Llc | |
|
100 William Northern Blvd Tullahoma TN 37388-4754 | |
| (931) 454-0489 | |
| Not Available |
| Full Name | Family Practice Center Of Tullahoma Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 William Northern Blvd, Tullahoma, Tennessee |
| Authorized Official Name and Position | John D Patsimas (M.D.) |
| Authorized Official Contact | 9314540489 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Center Of Tullahoma Llc 100 William Northern Blvd Tullahoma TN 37388-4754 Ph: (931) 454-0489 | Family Practice Center Of Tullahoma Llc 100 William Northern Blvd Tullahoma TN 37388-4754 Ph: (931) 454-0489 |
| NPI Number | 1275796880 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 03/20/2013 |
| Medicare PECOS PAC ID | 2769640812 |
|---|---|
| Medicare Enrollment ID | O20120221000993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275796880 | NPI | - | NPPES |
| 4314517 | Other | TN | BCBS |
| 1527567 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Donald V Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487695904 PECOS PAC ID: 3072427939 Enrollment ID: I20031114000383 |
| Provider Name | John D Patsimas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649376849 PECOS PAC ID: 0042201337 Enrollment ID: I20040525000436 |
| Provider Name | Arthur W Davies |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770821365 PECOS PAC ID: 6901081322 Enrollment ID: I20161018000746 |
| Provider Name | Michelle K Bull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679035851 PECOS PAC ID: 8123351830 Enrollment ID: I20190612002133 |
| Provider Name | Tara B Tye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093340630 PECOS PAC ID: 9638509524 Enrollment ID: I20200416001190 |
| Provider Name | Jennifer Tallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295268654 PECOS PAC ID: 5890051429 Enrollment ID: I20210303000011 |
| Provider Name | Ashley E Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639457567 PECOS PAC ID: 4587073861 Enrollment ID: I20210518000829 |
| Provider Name | Ambrr M Spry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841072014 PECOS PAC ID: 5698122349 Enrollment ID: I20231117000422 |
Tullahoma After Hours Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hunters Lane, Suite 100, Tullahoma, TN 37388 Phone: 931-455-4616 Fax: 931-455-2362 | |
Dr. Frank W. Semmes, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Ne Atlantic St, Tullahoma, TN 37388 Phone: 931-571-7601 Fax: 931-455-2029 | |
Total Health Care Associates, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Ledford Mill Rd, Ste B, Tullahoma, TN 37388 Phone: 931-222-4310 | |
Tullahoma Internal Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388 Phone: 931-393-3366 Fax: 931-393-1065 | |
Ian S. Taylor, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10054 Old Tullahoma Rd, Tullahoma, TN 37388 Phone: 931-455-6688 Fax: 931-455-0892 | |
Donald Tucker Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 William Northern Blvd, Tullahoma, TN 37388 Phone: 931-454-0489 Fax: 931-454-2348 | |
Vanderbilt Integrated Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 N Jackson St Ste 100, Tullahoma, TN 37388 Phone: 931-455-7767 Fax: 931-222-4057 |