| Meharry Medical Group | |
|
1005 Dr. D. B. Todd Blvd Nashville TN 37208 | |
| (615) 327-5592 | |
| (615) 327-5555 |
| Full Name | Meharry Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1005 Dr. D. B. Todd Blvd, Nashville, Tennessee |
| Authorized Official Name and Position | Michael Arnold (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 6153275509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meharry Medical Group 1005 Dr. D. B. Todd Blvd Nashville TN 37208 Ph: (615) 327-5592 | Meharry Medical Group 1005 Dr. D. B. Todd Blvd Nashville TN 37208 Ph: (615) 327-5592 |
| NPI Number | 1205859279 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 04/15/2016 |
| Medicare PECOS PAC ID | 3375456163 |
|---|---|
| Medicare Enrollment ID | O20031107000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205859279 | NPI | - | NPPES |
| 3717679 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ruth C Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265529309 PECOS PAC ID: 9032013867 Enrollment ID: I20031124000315 |
| Provider Name | S L Lampkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275583163 PECOS PAC ID: 2769380773 Enrollment ID: I20031229000945 |
| Provider Name | Robin R Daniel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1447317953 PECOS PAC ID: 6305824194 Enrollment ID: I20040721001113 |
| Provider Name | Millard D Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952389173 PECOS PAC ID: 5395710495 Enrollment ID: I20040901000365 |
| Provider Name | Lloyd D Hancock |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083655518 PECOS PAC ID: 3870568868 Enrollment ID: I20040903000514 |
| Provider Name | Anthony Disher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104804145 PECOS PAC ID: 5193793800 Enrollment ID: I20040921000490 |
| Provider Name | Vladimir Berthaud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790763019 PECOS PAC ID: 4789652421 Enrollment ID: I20040921000696 |
| Provider Name | Frank A Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619917879 PECOS PAC ID: 9032178157 Enrollment ID: I20041005000869 |
| Provider Name | Mene Sugage Zua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003801937 PECOS PAC ID: 9234109893 Enrollment ID: I20041008000522 |
| Provider Name | Shahana A Choudhury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245218460 PECOS PAC ID: 1153385299 Enrollment ID: I20041117001017 |
| Provider Name | Monique M Bennerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841278157 PECOS PAC ID: 2163489766 Enrollment ID: I20041215000640 |
| Provider Name | Concepcion G Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548366222 PECOS PAC ID: 1850343245 Enrollment ID: I20050214000761 |
| Provider Name | Stephanie C Mcclure |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215968839 PECOS PAC ID: 6103860887 Enrollment ID: I20050614000439 |
| Provider Name | Pamala A Pannell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215008016 PECOS PAC ID: 4284679879 Enrollment ID: I20050623000798 |
| Provider Name | Carlton Zelliot Adams |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689652893 PECOS PAC ID: 6406871631 Enrollment ID: I20051006001010 |
| Provider Name | Olayinke O Onadeko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770562555 PECOS PAC ID: 1557387123 Enrollment ID: I20051022000111 |
| Provider Name | Richmond Augustine Akatue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578530796 PECOS PAC ID: 5698797348 Enrollment ID: I20051222000382 |
| Provider Name | Phillip H Bourne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427036748 PECOS PAC ID: 0042233751 Enrollment ID: I20060109000817 |
| Provider Name | Vernita A Tucker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003895640 PECOS PAC ID: 1052325339 Enrollment ID: I20060126000376 |
| Provider Name | Ahsen R Chaudhry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992725147 PECOS PAC ID: 5496732117 Enrollment ID: I20060912000285 |
| Provider Name | Xylina D Bean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871515254 PECOS PAC ID: 5991700734 Enrollment ID: I20060928000518 |
| Provider Name | Carol C Ziegler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487704136 PECOS PAC ID: 9234236639 Enrollment ID: I20070519000052 |
| Provider Name | Moses A Owoso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467550046 PECOS PAC ID: 3870590359 Enrollment ID: I20070618000470 |
| Provider Name | Tommy Wood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710008651 PECOS PAC ID: 1153422852 Enrollment ID: I20070725000360 |
| Provider Name | Vincent Morelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285753293 PECOS PAC ID: 6800848813 Enrollment ID: I20071010000386 |
| Provider Name | Eric Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366631566 PECOS PAC ID: 7315029139 Enrollment ID: I20080131000408 |
| Provider Name | Christopher J Keefer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164579033 PECOS PAC ID: 8628149580 Enrollment ID: I20080619000655 |
| Provider Name | Richard D Fremont |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528115482 PECOS PAC ID: 0244291755 Enrollment ID: I20080811000681 |
| Provider Name | Nandakumar Bangalore Vittal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619192622 PECOS PAC ID: 0143395822 Enrollment ID: I20080814000263 |
| Provider Name | Jayashree R Nathan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003071333 PECOS PAC ID: 4981770757 Enrollment ID: I20080902000013 |
| Provider Name | Olumuyiwa A Esuruoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770774754 PECOS PAC ID: 0143305565 Enrollment ID: I20080912000504 |
| Provider Name | Christopher Michael White |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306051552 PECOS PAC ID: 6608943345 Enrollment ID: I20080923000355 |
| Provider Name | Pradumna P Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760461453 PECOS PAC ID: 7012072291 Enrollment ID: I20090223000522 |
| Provider Name | Jami L Miller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265530117 PECOS PAC ID: 5193872869 Enrollment ID: I20090415000340 |
| Provider Name | Theodora P Pinnock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831331313 PECOS PAC ID: 7911055306 Enrollment ID: I20090422000671 |
| Provider Name | Damaris M Olagundoye |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417192816 PECOS PAC ID: 2769533512 Enrollment ID: I20090708000035 |
| Provider Name | Nader S Bahri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588899082 PECOS PAC ID: 4789736760 Enrollment ID: I20090722000506 |
| Provider Name | Billy R Ballard |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376521518 PECOS PAC ID: 9739214313 Enrollment ID: I20100322000371 |
| Provider Name | Paul W Ragan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629160049 PECOS PAC ID: 4981733623 Enrollment ID: I20100519000043 |
| Provider Name | Peter L Millet |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265768063 PECOS PAC ID: 9931238839 Enrollment ID: I20100603000021 |
| Provider Name | Eva Parker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023047792 PECOS PAC ID: 6204832595 Enrollment ID: I20101110000745 |
| Provider Name | Edward R Hills |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760461842 PECOS PAC ID: 2062608326 Enrollment ID: I20101129000444 |
| Provider Name | Fatimah Bacha Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750524260 PECOS PAC ID: 5799972766 Enrollment ID: I20101203000498 |
| Provider Name | Adrienne M Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457424475 PECOS PAC ID: 4486836665 Enrollment ID: I20110329000514 |
| Provider Name | Josephine E Bahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295033215 PECOS PAC ID: 3577741214 Enrollment ID: I20110628000130 |
| Provider Name | Michael Neuss |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174517593 PECOS PAC ID: 5193637585 Enrollment ID: I20110816000402 |
| Provider Name | Heather M Ohara |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1942525647 PECOS PAC ID: 7315113552 Enrollment ID: I20120110000403 |
| Provider Name | Marquetta Larneita Faulkner |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073518734 PECOS PAC ID: 8123295466 Enrollment ID: I20120127000085 |
| Provider Name | Duane T Smoot |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922117050 PECOS PAC ID: 5991874760 Enrollment ID: I20120307000563 |
| Provider Name | Donald Bruce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154309474 PECOS PAC ID: 9436318680 Enrollment ID: I20120308000172 |
| Provider Name | Muyiwa Adedokun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992803498 PECOS PAC ID: 8729249776 Enrollment ID: I20120419000516 |
| Provider Name | Lauren Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689833790 PECOS PAC ID: 3870731128 Enrollment ID: I20130529000297 |
| Provider Name | Samuel D James |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063685832 PECOS PAC ID: 9436392305 Enrollment ID: I20130823001098 |
| Provider Name | Keisha Ashmeade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407000227 PECOS PAC ID: 7517024995 Enrollment ID: I20140502001905 |
| Provider Name | Paul J Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487941522 PECOS PAC ID: 1254550007 Enrollment ID: I20140910001187 |
| Provider Name | Aaron Yang |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245541846 PECOS PAC ID: 0749422400 Enrollment ID: I20141219001657 |
| Provider Name | Rita Jakpor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326443110 PECOS PAC ID: 8022334580 Enrollment ID: I20150302000148 |
| Provider Name | Calvin Miles Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366736845 PECOS PAC ID: 1850605080 Enrollment ID: I20150801017321 |
| Provider Name | Samori O Cummings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801923776 PECOS PAC ID: 5799941126 Enrollment ID: I20150910001013 |
| Provider Name | Ashley N. Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891059291 PECOS PAC ID: 2668782103 Enrollment ID: I20151112001297 |
| Provider Name | Jamie Lenee Ware |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619108701 PECOS PAC ID: 9234285271 Enrollment ID: I20151222001481 |
| Provider Name | Alyssa Saelens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871756080 PECOS PAC ID: 8628104452 Enrollment ID: I20151230001264 |
| Provider Name | Kenneth Cook |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871563155 PECOS PAC ID: 7719875558 Enrollment ID: I20160201002694 |
| Provider Name | James Fry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659482305 PECOS PAC ID: 2769775923 Enrollment ID: I20160726000637 |
| Provider Name | Iffat Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891132767 PECOS PAC ID: 6901190065 Enrollment ID: I20160811002419 |
| Provider Name | Lloyda Williamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699703322 PECOS PAC ID: 4284679291 Enrollment ID: I20160823003115 |
| Provider Name | Julia Ngo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679832950 PECOS PAC ID: 1951697473 Enrollment ID: I20160909001423 |
| Provider Name | Cyree C Collier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023377942 PECOS PAC ID: 6800174889 Enrollment ID: I20161026000251 |
| Provider Name | Kevin Billups |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1942354949 PECOS PAC ID: 6305941634 Enrollment ID: I20161028000558 |
| Provider Name | Livette Johnson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356474662 PECOS PAC ID: 1759538408 Enrollment ID: I20161107000438 |
| Provider Name | Vern Eric Kerchberger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255697397 PECOS PAC ID: 4284936410 Enrollment ID: I20161213002719 |
| Provider Name | Sheena Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386917300 PECOS PAC ID: 0446531792 Enrollment ID: I20161229001000 |
| Provider Name | George E Butler |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1396720595 PECOS PAC ID: 6608157789 Enrollment ID: I20170104000127 |
| Provider Name | Kimberlee Wyche-etheridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386845675 PECOS PAC ID: 9739463191 Enrollment ID: I20170302000604 |
| Provider Name | Angelica Garrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912210063 PECOS PAC ID: 0547418709 Enrollment ID: I20170314000525 |
| Provider Name | Anna Dewan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245596394 PECOS PAC ID: 5193027860 Enrollment ID: I20170524001493 |
| Provider Name | Erin Anita Phamvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245770791 PECOS PAC ID: 5597032482 Enrollment ID: I20170524002605 |
| Provider Name | Dontal Lamar Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265851919 PECOS PAC ID: 7315218856 Enrollment ID: I20170802001601 |
| Provider Name | Deon Tolliver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780096933 PECOS PAC ID: 7517230683 Enrollment ID: I20170912001976 |
| Provider Name | Rosalena Muckle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962816207 PECOS PAC ID: 2264707892 Enrollment ID: I20171009001559 |
| Provider Name | Toni L Hall |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841680162 PECOS PAC ID: 6608141122 Enrollment ID: I20171010002061 |
| Provider Name | Kimberley Lynnette Perkins |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588634901 PECOS PAC ID: 8628391448 Enrollment ID: I20180816001079 |
| Provider Name | Karen Louise Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194247999 PECOS PAC ID: 0648523563 Enrollment ID: I20181023002175 |
| Provider Name | Elosha Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174830038 PECOS PAC ID: 6305141359 Enrollment ID: I20181112001303 |
| Provider Name | Mohammed Amine Achhal El Kadmiri |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457614778 PECOS PAC ID: 0749542751 Enrollment ID: I20181128001318 |
| Provider Name | Maria Mercedes-lattimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952884751 PECOS PAC ID: 3476891532 Enrollment ID: I20190214002162 |
| Provider Name | Miranda Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376662833 PECOS PAC ID: 8325194590 Enrollment ID: I20190215002062 |
| Provider Name | Luis Enrique Huerta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952690505 PECOS PAC ID: 9133358971 Enrollment ID: I20190314002766 |
| Provider Name | Harold Embrack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932511680 PECOS PAC ID: 7416297015 Enrollment ID: I20190318002920 |
| Provider Name | Nichelle Davey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215323357 PECOS PAC ID: 7810299781 Enrollment ID: I20190320003099 |
| Provider Name | Sunday Ogunde |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215250295 PECOS PAC ID: 2264749761 Enrollment ID: I20190628002853 |
| Provider Name | Bolanle Asiyanbola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821014226 PECOS PAC ID: 1355346370 Enrollment ID: I20190819000645 |
| Provider Name | Jason Eric Cheng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619201241 PECOS PAC ID: 7315177185 Enrollment ID: I20190903002915 |
| Provider Name | Rosalyn Patrice Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396075537 PECOS PAC ID: 1557536521 Enrollment ID: I20190912002238 |
| Provider Name | Osamudiamen Osa-edoh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841669009 PECOS PAC ID: 5799015087 Enrollment ID: I20190930002711 |
| Provider Name | Susanna Awoyode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578917811 PECOS PAC ID: 1658603881 Enrollment ID: I20191021002824 |
| Provider Name | Daphne Ferguson-young |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1619188372 PECOS PAC ID: 8820420078 Enrollment ID: I20191110000004 |
| Provider Name | Tiwalade Yewande Awosanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053725150 PECOS PAC ID: 4082046693 Enrollment ID: I20191120002772 |
| Provider Name | Dojendra Karkee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477917508 PECOS PAC ID: 3870926058 Enrollment ID: I20191202000501 |
| Provider Name | Heran Mengesha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295198349 PECOS PAC ID: 3678906203 Enrollment ID: I20191211003336 |
| Provider Name | Genevieve Beninati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861036790 PECOS PAC ID: 1557792777 Enrollment ID: I20200502000302 |
| Provider Name | Nathaniel Clifford Klein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780949297 PECOS PAC ID: 2466750708 Enrollment ID: I20200507002078 |
| Provider Name | Taiwo Tola Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255671269 PECOS PAC ID: 7719300078 Enrollment ID: I20200706002666 |
| Provider Name | Wade Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750724415 PECOS PAC ID: 9739300914 Enrollment ID: I20200720002320 |
| Provider Name | Kelsey Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487181814 PECOS PAC ID: 7911260021 Enrollment ID: I20201020001854 |
| Provider Name | Keyosha R Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396319174 PECOS PAC ID: 9234533084 Enrollment ID: I20210802002337 |
| Provider Name | James B Mckenzie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386952299 PECOS PAC ID: 2365745148 Enrollment ID: I20210802003238 |
| Provider Name | Tabitha Jenell Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093254443 PECOS PAC ID: 8729362199 Enrollment ID: I20210811001744 |
| Provider Name | Michael Caldwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134258676 PECOS PAC ID: 9436281136 Enrollment ID: I20210928000767 |
| Provider Name | Meagan Keefe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144684614 PECOS PAC ID: 3072804087 Enrollment ID: I20211013001215 |
| Provider Name | Eszter Szentirmai |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023463643 PECOS PAC ID: 5991098436 Enrollment ID: I20211112001460 |
| Provider Name | Ronald Dudek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609956184 PECOS PAC ID: 1951369727 Enrollment ID: I20211116001638 |
| Provider Name | Madalyn Meadors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821549197 PECOS PAC ID: 5890175301 Enrollment ID: I20220630000408 |
| Provider Name | Kandace M Arlaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063057933 PECOS PAC ID: 0143600221 Enrollment ID: I20220707000570 |
| Provider Name | Sanford H Barsky |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629002423 PECOS PAC ID: 0446282008 Enrollment ID: I20220711003224 |
| Provider Name | Valarie Lynn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386217933 PECOS PAC ID: 5890176275 Enrollment ID: I20220715002157 |
| Provider Name | Bolanle Oluwatoyin Ogunde |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1528490869 PECOS PAC ID: 3577945781 Enrollment ID: I20220804002739 |
The Upper Cervical Spine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 White Bridge Pike, Nashville, TN 37205 Phone: 615-953-7406 | |
Mid Tn Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3413 Nolensville Pike, Nashville, TN 37211 Phone: 615-569-4067 | |
Quality Healthcare Group Of Middle Tn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 12th Ave S, Suite 5, Nashville, TN 37203 Phone: 615-291-6700 | |
H. Douglas Holliday Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4230 Harding Rd, Ste. 530 Heart Institute, Nashville, TN 37205 Phone: 615-297-6006 Fax: 615-298-6778 | |
Sterling Primary Care Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2400 Patterson Street, Suite 500, Nashville, TN 37203 Phone: 615-327-7400 Fax: 615-327-4818 | |
Clinica Hispana La Paz Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4053 Nolensville Rd, Nashville, TN 37211 Phone: 615-627-1282 | |
Wavery Belmont Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 12th Ave S, Nashville, TN 37203 Phone: 615-269-3461 Fax: 615-383-1950 |