| Lewisburg Pediatrics | |
|
1090 N Ellington Pkwy Suite 201 Lewisburg TN 37091-2227 | |
| (931) 270-3655 | |
| Not Available |
| Full Name | Lewisburg Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 1090 N Ellington Pkwy, Lewisburg, Tennessee |
| Authorized Official Name and Position | Charles J Brinkley (CFO) |
| Authorized Official Contact | 9315404212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewisburg Pediatrics Po Box 100054 Atlanta GA 30348-0054 Ph: () - | Lewisburg Pediatrics 1090 N Ellington Pkwy Suite 201 Lewisburg TN 37091-2227 Ph: (931) 270-3655 |
| NPI Number | 1679937783 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 08/08/2024 |
| Medicare PECOS PAC ID | 4688569718 |
|---|---|
| Medicare Enrollment ID | O20160526000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679937783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
South Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 2nd Ave South, Lewisburg, TN 37091 Phone: 931-422-5029 Fax: 931-422-5229 | |
Family Health Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091 Phone: 931-359-0019 Fax: 931-359-7381 | |
Benchmark Pt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 N Ellington Pkwy Ste 6, Lewisburg, TN 37091 Phone: 931-359-1913 Fax: 931-359-1932 | |
Medical Home Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Garrett Pkwy, Lewisburg, TN 37091 Phone: 615-427-4220 Fax: 931-266-4740 | |
Charles R Tessier Iv Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 W Church St, Lewisburg, TN 37091 Phone: 931-359-3551 Fax: 931-359-8421 | |
Family Health Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091 Phone: 931-359-0019 Fax: 931-359-7381 | |
Altea Medical Tennessee Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 244 Oakwood Dr, Lewisburg, TN 37091 Phone: 931-359-3563 |