| Long Hollow Family Practice | |
|
740 Conference Dr Goodlettsville TN 37072-1915 | |
| (615) 859-1440 | |
| (615) 859-0145 |
| Full Name | Long Hollow Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 740 Conference Dr, Goodlettsville, Tennessee |
| Authorized Official Name and Position | John E Baites (PRESIDENT) |
| Authorized Official Contact | 6158591440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Hollow Family Practice Po Box 710 Goodlettsville TN 37070-0710 Ph: (615) 859-1440 | Long Hollow Family Practice 740 Conference Dr Goodlettsville TN 37072-1915 Ph: (615) 859-1440 |
| NPI Number | 1093928707 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7810984440 |
|---|---|
| Medicare Enrollment ID | O20090511000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093928707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John E Baites |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801866199 PECOS PAC ID: 9133116775 Enrollment ID: I20041030000197 |
| Provider Name | Meredith I Dunham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962441006 PECOS PAC ID: 6901868140 Enrollment ID: I20041101000251 |
| Provider Name | Ted J Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063483568 PECOS PAC ID: 2264558048 Enrollment ID: I20100929001099 |
| Provider Name | Jeannie M Swafford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811220130 PECOS PAC ID: 3173716917 Enrollment ID: I20101025000751 |
| Provider Name | Candyce Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245270883 PECOS PAC ID: 5991029316 Enrollment ID: I20150113001269 |
| Provider Name | Emily E Hansford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295241768 PECOS PAC ID: 2961752506 Enrollment ID: I20190806000119 |
Goodlettsville Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 Northcreek Blvd, Suite 200, Goodlettsville, TN 37072 Phone: 615-855-0437 | |
Phoenix Medical Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Conference Dr, Suite 1, Goodlettsville, TN 37072 Phone: 615-851-7000 Fax: 615-851-7852 | |
Healing Place Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Wren Rd, Goodlettsville, TN 37072 Phone: 615-851-8959 Fax: 615-851-5949 | |
Stephen L Hammerman M.d.llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 S Main St, Suite A, Goodlettsville, TN 37072 Phone: 615-859-2973 Fax: 615-851-6797 | |
Colossal Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Rivergate Pkwy Ste 102, Goodlettsville, TN 37072 Phone: 615-239-8359 | |
An Insured Recovery, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 839 Wren Rd, Goodlettsville, TN 37072 Phone: 615-330-0071 |