| Hometown Urgent Care Of Dyersburg Pllc | |
|
2550 Parr Ave Dyersburg TN 38024 | |
| (731) 325-5678 | |
| Not Available |
| Full Name | Hometown Urgent Care Of Dyersburg Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2550 Parr Ave, Dyersburg, Tennessee |
| Authorized Official Name and Position | Mohsin Alhaddad (PROVIDER) |
| Authorized Official Contact | 7313255678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Urgent Care Of Dyersburg Pllc 2550 Parr Ave Dyersburg TN 38024-2033 Ph: (731) 325-5678 | Hometown Urgent Care Of Dyersburg Pllc 2550 Parr Ave Dyersburg TN 38024 Ph: (731) 325-5678 |
| NPI Number | 1003318593 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 05/25/2018 |
| Medicare PECOS PAC ID | 8820349202 |
|---|---|
| Medicare Enrollment ID | O20180924003434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003318593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Mohsin T Alhaddad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467624619 PECOS PAC ID: 6406036201 Enrollment ID: I20121011000492 |
| Provider Name | Kevin Majors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114328655 PECOS PAC ID: 6406178193 Enrollment ID: I20141208002289 |
| Provider Name | Wanda R Beaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396160222 PECOS PAC ID: 3173845773 Enrollment ID: I20141210001928 |
| Provider Name | Sheree Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164800629 PECOS PAC ID: 4981995693 Enrollment ID: I20161021000904 |
| Provider Name | Molly Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184170268 PECOS PAC ID: 7810278710 Enrollment ID: I20170109002167 |
| Provider Name | Katelyn M Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396273157 PECOS PAC ID: 7618222944 Enrollment ID: I20180609000046 |
| Provider Name | Brooke Lacy Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518475656 PECOS PAC ID: 8820348535 Enrollment ID: I20180829004759 |
| Provider Name | Angela Dawn Upchurch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275033888 PECOS PAC ID: 8426300385 Enrollment ID: I20181004001531 |
| Provider Name | Amber Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487196069 PECOS PAC ID: 3274803036 Enrollment ID: I20181106002494 |
| Provider Name | Trent Jim-e Theriac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134686116 PECOS PAC ID: 0840533311 Enrollment ID: I20190524000631 |
| Provider Name | Melanie Brooke Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154883049 PECOS PAC ID: 0446584080 Enrollment ID: I20190702000007 |
| Provider Name | Chasity S Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568000503 PECOS PAC ID: 0749619054 Enrollment ID: I20220818003328 |
| Provider Name | Bradley Edward Gatlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225757008 PECOS PAC ID: 8527444579 Enrollment ID: I20220929000554 |
| Provider Name | Amber Ann Marie Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467158105 PECOS PAC ID: 5597139451 Enrollment ID: I20230316002056 |
| Provider Name | Amber M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508645474 PECOS PAC ID: 4183073547 Enrollment ID: I20231211000802 |
| Provider Name | Allison A Vallee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831753391 PECOS PAC ID: 8123245438 Enrollment ID: I20240214003483 |
| Provider Name | Amber Elaine Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033970116 PECOS PAC ID: 2567808199 Enrollment ID: I20240306000952 |
Mid-south Convenient Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024 Phone: 731-286-1900 Fax: 731-286-1900 | |
Grace Family Practice Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1716 Parr Ave Ste D, Dyersburg, TN 38024 Phone: 731-288-0911 Fax: 731-288-0065 | |
Dyersburg Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Tickle St, Dyersburg, TN 38024 Phone: 731-288-7250 Fax: 731-288-7258 | |
Bcp 1, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2490 Parr Ave Ste 9, Dyersburg, TN 38024 Phone: 731-285-0844 | |
Dyersburg Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Tickle St, Dyersburg, TN 38024 Phone: 731-287-2400 Fax: 731-285-9545 | |
Digestive Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1067 Vendall Rd, Dyersburg, TN 38024 Phone: 731-285-5133 Fax: 731-285-9921 |