| Lifespan Health | |
|
765 Florence Rd Savannah TN 38372-3451 | |
| (731) 925-2300 | |
| (731) 925-2157 |
| Full Name | Lifespan Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 765 Florence Rd, Savannah, Tennessee |
| Authorized Official Name and Position | Yainieh Taylor Mcginley (CEO) |
| Authorized Official Contact | 7319252300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Health Po Box 655 Savannah TN 38372-0655 Ph: (731) 925-2300 | Lifespan Health 765 Florence Rd Savannah TN 38372-3451 Ph: (731) 925-2300 |
| NPI Number | 1184676157 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 01/27/2021 |
| Medicare PECOS PAC ID | 3779490776 |
|---|---|
| Medicare Enrollment ID | O20040430000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184676157 | NPI | - | NPPES |
| 0441800 | Medicaid | TN | |
| 3707027 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Michael L Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518984194 PECOS PAC ID: 0749294809 Enrollment ID: I20060127000857 |
| Provider Name | Gregory Charles Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326098237 PECOS PAC ID: 7618940339 Enrollment ID: I20060629000315 |
| Provider Name | Teresa D Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780866830 PECOS PAC ID: 2466535125 Enrollment ID: I20080219000257 |
| Provider Name | Gilbert M Thayer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891789848 PECOS PAC ID: 7810953866 Enrollment ID: I20080414000375 |
| Provider Name | Nicole D Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952535171 PECOS PAC ID: 2860543378 Enrollment ID: I20090623000706 |
| Provider Name | Adesuwa Igbinedion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851525745 PECOS PAC ID: 3870623531 Enrollment ID: I20100608000080 |
| Provider Name | Tiffany B Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114201068 PECOS PAC ID: 0840463600 Enrollment ID: I20111024000515 |
| Provider Name | Glenn T Webb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538240130 PECOS PAC ID: 7113191685 Enrollment ID: I20111118000086 |
| Provider Name | Delca S Rickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821246786 PECOS PAC ID: 4082854062 Enrollment ID: I20130716000489 |
| Provider Name | Mandy R Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235400532 PECOS PAC ID: 0042473787 Enrollment ID: I20130717000845 |
| Provider Name | Amie L Roland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255768263 PECOS PAC ID: 5698900306 Enrollment ID: I20131106000378 |
| Provider Name | Donald J Halke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962794016 PECOS PAC ID: 1557588423 Enrollment ID: I20151012000233 |
| Provider Name | Ionela Alina Halke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467745984 PECOS PAC ID: 2466774351 Enrollment ID: I20151028001233 |
| Provider Name | Jeanie B Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225286230 PECOS PAC ID: 9436440690 Enrollment ID: I20160617000556 |
| Provider Name | Lyndsay Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922441120 PECOS PAC ID: 3476861675 Enrollment ID: I20160720001685 |
| Provider Name | Ashley Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669917522 PECOS PAC ID: 1658653654 Enrollment ID: I20170127001103 |
| Provider Name | Angela M Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578051850 PECOS PAC ID: 9931454618 Enrollment ID: I20180620002874 |
| Provider Name | Glenn P Halke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598007064 PECOS PAC ID: 1557391463 Enrollment ID: I20180716002602 |
| Provider Name | Malory Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356836332 PECOS PAC ID: 2961753363 Enrollment ID: I20180925000929 |
| Provider Name | Abby Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063058667 PECOS PAC ID: 9032543798 Enrollment ID: I20200106001018 |
| Provider Name | William Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881284594 PECOS PAC ID: 9537573597 Enrollment ID: I20210202003021 |
| Provider Name | Katherina C Mcginley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124522701 PECOS PAC ID: 0840540654 Enrollment ID: I20210309000455 |
| Provider Name | Melissa Dye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881092211 PECOS PAC ID: 2466764972 Enrollment ID: I20220105002174 |
| Provider Name | Michelle Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497427256 PECOS PAC ID: 1658763016 Enrollment ID: I20220114000100 |
| Provider Name | Lindsay Nicole Harbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184060238 PECOS PAC ID: 0143515080 Enrollment ID: I20220621003205 |
| Provider Name | Hilary Lee Belvin-hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962123000 PECOS PAC ID: 7012385313 Enrollment ID: I20221118001178 |
| Provider Name | Akishna Glasper-williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629360706 PECOS PAC ID: 7113203100 Enrollment ID: I20230105000269 |
| Provider Name | Shanda Delane Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669186920 PECOS PAC ID: 9335507839 Enrollment ID: I20230615000227 |
| Provider Name | Amy Johnson Hosea |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972610087 PECOS PAC ID: 6103280342 Enrollment ID: I20230906004334 |
| Provider Name | Lauren Rae Droke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447950241 PECOS PAC ID: 5991154163 Enrollment ID: I20231213001650 |
| Provider Name | Connie D Stricklin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467918193 PECOS PAC ID: 1355791690 Enrollment ID: I20231228001185 |
| Provider Name | Matthew Blake Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871066456 PECOS PAC ID: 4688913189 Enrollment ID: I20240419001230 |
| Provider Name | Leandra Gobbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427801158 PECOS PAC ID: 2769924109 Enrollment ID: I20240612004331 |
Lifespan Women And Children Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Davis St, Savannah, TN 38372 Phone: 731-925-8879 | |
Lifespan Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 East End Drive, Savannah, TN 38372 Phone: 731-925-2300 Fax: 731-926-1373 | |
Lifespan Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 175 Enoch Blvd, Savannah, TN 38372 Phone: 731-925-2300 | |
Hardin County Board Of Education Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Guinn St, Savannah, TN 38372 Phone: 731-925-3943 Fax: 731-925-3943 | |
Hmc Physician Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 935 Wayne Road, Savannah, TN 38372 Phone: 731-925-9909 Fax: 731-925-3323 | |
Savannah Bone & Joint Sp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Main St, Savannah, TN 38372 Phone: 731-925-9909 Fax: 731-925-3323 |