| Hometown Family Medical Clinic Pllc | |
|
418 B West Central Avenue Jamestown TN 38556 | |
| (931) 879-8794 | |
| (931) 879-8887 |
| Full Name | Hometown Family Medical Clinic Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 418 B West Central Avenue, Jamestown, Tennessee |
| Authorized Official Name and Position | Connie Sue Lee (OWNER) |
| Authorized Official Contact | 9318798794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Family Medical Clinic Pllc Po Box 950 418 B West Central Avenue Jamestown TN 38556-0950 Ph: (931) 879-8794 | Hometown Family Medical Clinic Pllc 418 B West Central Avenue Jamestown TN 38556 Ph: (931) 879-8794 |
| NPI Number | 1154763134 |
|---|---|
| Provider Enumeration Date | 07/19/2013 |
| Last Update Date | 09/13/2023 |
| Medicare PECOS PAC ID | 9436393279 |
|---|---|
| Medicare Enrollment ID | O20130918000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154763134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN0000015369 (Tennessee) | Primary |
| Provider Name | Mark Allen Clapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376592782 PECOS PAC ID: 6305838780 Enrollment ID: I20080814000266 |
| Provider Name | Jocelyn R Chermak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033350152 PECOS PAC ID: 2567514565 Enrollment ID: I20090722000764 |
| Provider Name | Connie S Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215239231 PECOS PAC ID: 9739369356 Enrollment ID: I20110214000592 |
| Provider Name | Amanda Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669857850 PECOS PAC ID: 2961703616 Enrollment ID: I20151222001519 |
Dilip N Joshi Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 North Duncan St, Jamestown, TN 38556 Phone: 931-879-5884 Fax: 931-879-3928 | |
Jonathan D. Allred M.d.p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 234 West Central Avenue, Jamestown, TN 38556 Phone: 931-879-8139 | |
Primary Care Of Jamestown, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Duncan St Ste C, Jamestown, TN 38556 Phone: 931-879-5864 Fax: 931-879-3903 | |
C S Sewell M.d. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 341 West Central Ave, Jamestown, TN 38556 Phone: 931-879-9892 Fax: 931-879-9893 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 E Central Ave, Jamestown, TN 38556 Phone: 931-879-0206 Fax: 931-879-0207 | |
Fentress Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Duncan St, Jamestown, TN 38556 Phone: 931-879-4645 Fax: 931-879-2606 |