| Gray Family Clinic Plc | |
|
132 Old Gray Station Road Gray TN 37615-3434 | |
| (423) 467-8001 | |
| (423) 467-8003 |
| Full Name | Gray Family Clinic Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 132 Old Gray Station Road, Gray, Tennessee |
| Authorized Official Name and Position | Rebekah Jolena Cote (MEMBER) |
| Authorized Official Contact | 4234678001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Family Clinic Plc 132 Old Gray Station Road Gray TN 37615-3434 Ph: (423) 467-8001 | Gray Family Clinic Plc 132 Old Gray Station Road Gray TN 37615-3434 Ph: (423) 467-8001 |
| NPI Number | 1417056185 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8325262108 |
|---|---|
| Medicare Enrollment ID | O20140618000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417056185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William J Cote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740383157 PECOS PAC ID: 2163741141 Enrollment ID: I20150427000210 |
| Provider Name | Talisha Ettina Leeann Troutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639696784 PECOS PAC ID: 2961759113 Enrollment ID: I20180719002077 |
| Provider Name | Rebecca Ann Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497382162 PECOS PAC ID: 0749619344 Enrollment ID: I20200402001555 |
Genesis Family Healthcare Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2244 Boones Creek Rd, Gray, TN 37615 Phone: 423-753-4000 Fax: 423-753-4004 | |
Msmg Ob Gyn Gray Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Gray Commons Cir, Suite B, Gray, TN 37615 Phone: 423-392-6370 Fax: 423-392-6081 | |
Gray Family Healthcare Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Gray Commons Cir, Gray, TN 37615 Phone: 423-477-0600 Fax: 423-477-0611 |