| Mountain View Medical | |
|
370 Doolittle Rd Suite 1 Woodbury TN 37190-1129 | |
| (615) 563-3245 | |
| (615) 563-3247 |
| Full Name | Mountain View Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 370 Doolittle Rd, Woodbury, Tennessee |
| Authorized Official Name and Position | Lori Kaye Carver (OFFICE MANAGER) |
| Authorized Official Contact | 6155633245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Medical 370 Doolittle Rd Suite 1 Woodbury TN 37190-1129 Ph: (615) 563-3245 | Mountain View Medical 370 Doolittle Rd Suite 1 Woodbury TN 37190-1129 Ph: (615) 563-3245 |
| NPI Number | 1457640674 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 03/29/2011 |
| Medicare PECOS PAC ID | 1355528126 |
|---|---|
| Medicare Enrollment ID | O20110602000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457640674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1506 (Tennessee) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 5683 (Tennessee) | Secondary |
| Provider Name | James R Spurlock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376544767 PECOS PAC ID: 7416916416 Enrollment ID: I20041006000267 |
| Provider Name | Jaime C Blaylock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083881064 PECOS PAC ID: 6305987488 Enrollment ID: I20100112000230 |
| Provider Name | Megan D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689191470 PECOS PAC ID: 2961769914 Enrollment ID: I20171129000339 |
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