| Fayetteville Medical Associates, Pc | |
|
207 Elk Ave S Fayetteville TN 37334-3051 | |
| (931) 433-2551 | |
| (931) 438-0069 |
| Full Name | Fayetteville Medical Associates, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 207 Elk Ave S, Fayetteville, Tennessee |
| Authorized Official Name and Position | Susan Hudson (ADMINISTRATOR) |
| Authorized Official Contact | 9314381676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayetteville Medical Associates, Pc 207 Elk Ave S Fayetteville TN 37334-3051 Ph: (931) 433-2551 | Fayetteville Medical Associates, Pc 207 Elk Ave S Fayetteville TN 37334-3051 Ph: (931) 433-2551 |
| NPI Number | 1902873953 |
|---|---|
| Provider Enumeration Date | 03/08/2006 |
| Last Update Date | 11/11/2009 |
| Medicare PECOS PAC ID | 8628982857 |
|---|---|
| Medicare Enrollment ID | O20031113000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902873953 | NPI | - | NPPES |
| 3703791 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | William K Spears |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639147119 PECOS PAC ID: 8527966217 Enrollment ID: I20031219000198 |
| Provider Name | Linda Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336190644 PECOS PAC ID: 8123031333 Enrollment ID: I20060710000276 |
| Provider Name | Amanda D Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851534606 PECOS PAC ID: 8022169580 Enrollment ID: I20090624000353 |
| Provider Name | David Richard Mccauley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255309852 PECOS PAC ID: 6608991625 Enrollment ID: I20100915000105 |
| Provider Name | Paul David Sain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023086675 PECOS PAC ID: 2062537095 Enrollment ID: I20100915000118 |
| Provider Name | Sallyann G Storer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457329302 PECOS PAC ID: 7012032048 Enrollment ID: I20100915000177 |
| Provider Name | William R Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740259589 PECOS PAC ID: 1153235395 Enrollment ID: I20100915000878 |
Lincoln Medical Center Surgical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Medical Center Blvd, Suite 175, Fayetteville, TN 37334 Phone: 931-438-1100 Fax: 931-438-7491 | |
Franke - Fayetteville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Franke Blvd, Fayetteville, TN 37334 Phone: 934-438-5249 | |
Fayetteville Medical Clinic & Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 College St W, Fayetteville, TN 37334 Phone: 931-532-0523 | |
Elk Valley Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 College St W, Fayetteville, TN 37334 Phone: 931-619-3243 Fax: 888-696-1054 | |
Hh Physician Care-fayetteville Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 Elk Ave S, Fayetteville, TN 37334 Phone: 931-433-2551 Fax: 931-438-0069 | |
Hh Lincoln Wound Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Medical Center Blvd Ste 175, Fayetteville, TN 37334 Phone: 931-438-7344 Fax: 931-438-7351 | |
Parkway Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Medical Center Blvd, Suite G-50, Fayetteville, TN 37334 Phone: 931-438-4111 Fax: 931-438-6108 |