Grundy County Primary Care Center - Medicare Primary Care in Coalmont, TN

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Grundy County Primary Care Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Coalmont, Tennessee. The current practice location for Grundy County Primary Care Center is 10120 Sr 56, Coalmont, Tennessee. For appointments, you can reach them via phone at (931) 779-4002. The mailing address for Grundy County Primary Care Center is Po Box 70, Palmer, Tennessee and phone number is (931) 779-4002.

Grundy County Primary Care Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1902010770. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (931) 779-4002.

Contact Information

Grundy County Primary Care Center
10120 Sr 56
Coalmont
TN 37313-2505
(931) 779-4002
(931) 779-4003

Map and Direction


Primary Care Clinic Profile

Full NameGrundy County Primary Care Center
SpecialityClinic/Center
Location10120 Sr 56, Coalmont, Tennessee
Authorized Official Name and PositionBill R Moats (CEO)
Authorized Official Contact4233388995
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grundy County Primary Care Center
Po Box 70
Palmer
TN 37365-0070

Ph: (931) 779-4002		Grundy County Primary Care Center
10120 Sr 56
Coalmont
TN 37313-2505

Ph: (931) 779-4002

NPI Details:

NPI Number1902010770
Provider Enumeration Date05/10/2007
Last Update Date06/29/2021

Medicare PECOS Information:

Medicare PECOS PAC ID1355233693
Medicare Enrollment IDO20040412001630

Medical Identifiers

Medical identifiers for Grundy County Primary Care Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902010770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Grundy County Primary Care Center acts as a billing entity for following providers:
Provider NameSusan Fisher
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730137035
PECOS PAC ID: 8224935929
Enrollment ID: I20040126000408
Provider NameManvesh N Sinha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053484121
PECOS PAC ID: 2961490354
Enrollment ID: I20040504001199
Provider NameAleksander I Malakhov
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780797035
PECOS PAC ID: 7315921533
Enrollment ID: I20040615001760
Provider NamePatricia A Mitchum
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881743672
PECOS PAC ID: 6901980325
Enrollment ID: I20080225000320
Provider NameMary C Hendren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063644656
PECOS PAC ID: 3577601608
Enrollment ID: I20091111000123
Provider NameKim D Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225102551
PECOS PAC ID: 7113182189
Enrollment ID: I20120626000542
Provider NameMercedes V Payne
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225021306
PECOS PAC ID: 4385619006
Enrollment ID: I20121015000358
Provider NameRobin Harding
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881823136
PECOS PAC ID: 1052555406
Enrollment ID: I20130925000211
Provider NameDenise R Mccluskey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073778007
PECOS PAC ID: 8022249713
Enrollment ID: I20140321001176
Provider NameJulie Mae Brewer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942566617
PECOS PAC ID: 5193961779
Enrollment ID: I20140710001655
Provider NameVictoria L Kinsey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225023799
PECOS PAC ID: 4880583053
Enrollment ID: I20150424000767
Provider NameBethany Elaine Condra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376952895
PECOS PAC ID: 5395064901
Enrollment ID: I20150603000193
Provider NameKayla Tanyee Perry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326591454
PECOS PAC ID: 7315233053
Enrollment ID: I20160907001258
Provider NameSally F Moss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558802629
PECOS PAC ID: 5092082826
Enrollment ID: I20170530001085
Provider NameJamie Bird
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568902922
PECOS PAC ID: 2769756980
Enrollment ID: I20170926003338
Provider NameDennis Earl Dodd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962710277
PECOS PAC ID: 5799049581
Enrollment ID: I20180502001769
Provider NameMichele Ricci
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598264376
PECOS PAC ID: 5496019903
Enrollment ID: I20180509002677
Provider NameAshley Still
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952889602
PECOS PAC ID: 4486992765
Enrollment ID: I20190212001329
Provider NameAletta Jane Vandergriff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912466475
PECOS PAC ID: 0749517472
Enrollment ID: I20190802002799
Provider NameRoksolana Odinets
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275177859
PECOS PAC ID: 6901236009
Enrollment ID: I20200413002064
Provider NameKimberly A West
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578199196
PECOS PAC ID: 5890112718
Enrollment ID: I20200824002260
Provider NameSamantha Coleen Huskey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720398324
PECOS PAC ID: 5193904233
Enrollment ID: I20210803002863
Provider NameLeah Elrod
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780932939
PECOS PAC ID: 4284881947
Enrollment ID: I20220223000318
Provider NameJohn M Lytle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356092571
PECOS PAC ID: 1951781970
Enrollment ID: I20220708001296
Provider NameRobert Breck Lang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023788635
PECOS PAC ID: 6709255490
Enrollment ID: I20221220002194
Provider NamePamela P Jones-singleton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346959541
PECOS PAC ID: 1658743034
Enrollment ID: I20230213000432
Provider NameBenjamin Geyman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114625993
PECOS PAC ID: 0547624595
Enrollment ID: I20230911001339
Provider NameHeather Kaye Campbell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144794330
PECOS PAC ID: 1759738321
Enrollment ID: I20231103002980

Reviews and Comments


Clinic/Center in Coalmont, TN

Coalmont Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 38 Industrial Park Road, Coalmont, TN 37313
Phone: 931-598-9761    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.