Southern Tennessee Primary Care-winchester Family Medicine | |
2118 Cowan Hwy Winchester TN 37398-2637 | |
(931) 962-4040 | |
(931) 962-2277 |
Full Name | Southern Tennessee Primary Care-winchester Family Medicine |
---|---|
Speciality | General Practice |
Location | 2118 Cowan Hwy, Winchester, Tennessee |
Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Southern Tennessee Primary Care-winchester Family Medicine 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Southern Tennessee Primary Care-winchester Family Medicine 2118 Cowan Hwy Winchester TN 37398-2637 Ph: (931) 962-4040 |
NPI Number | 1164789467 |
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Provider Enumeration Date | 04/12/2012 |
Last Update Date | 09/14/2024 |
Medicare PECOS PAC ID | 5991765943 |
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Medicare Enrollment ID | O20041013001206 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164789467 | NPI | - | NPPES |
1528095 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Tony M Cox |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255425450 PECOS PAC ID: 9931005170 Enrollment ID: I20031209000901 |
Provider Name | Olan B Kemp |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538265749 PECOS PAC ID: 5496746786 Enrollment ID: I20040525000462 |
Provider Name | Raymond Lee Capps |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1346444742 PECOS PAC ID: 6305819996 Enrollment ID: I20040812001193 |
Provider Name | Andrea Kelley Gore Hayes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295819175 PECOS PAC ID: 1254304991 Enrollment ID: I20040819000533 |
Provider Name | Diane Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417940784 PECOS PAC ID: 4789648569 Enrollment ID: I20041112000469 |
Provider Name | Charles K Galiwango |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1417900812 PECOS PAC ID: 1658329248 Enrollment ID: I20050111000171 |
Provider Name | Guy F Fain |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184653453 PECOS PAC ID: 6800847278 Enrollment ID: I20050202000710 |
Provider Name | Tenzing Chounzom |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427075894 PECOS PAC ID: 2466403704 Enrollment ID: I20050203000928 |
Provider Name | Kim P Zahnke |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1033157284 PECOS PAC ID: 5092746255 Enrollment ID: I20050826000675 |
Provider Name | Shon P Nolin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447275359 PECOS PAC ID: 9436062478 Enrollment ID: I20050826000832 |
Provider Name | Linda R Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972608669 PECOS PAC ID: 8628076999 Enrollment ID: I20061121000061 |
Provider Name | James T Mcclure |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1073559803 PECOS PAC ID: 3971571993 Enrollment ID: I20070116000625 |
Provider Name | Karen M Gilson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1104813211 PECOS PAC ID: 4688779093 Enrollment ID: I20070413000159 |
Provider Name | Kelly B Golden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902939655 PECOS PAC ID: 5597858936 Enrollment ID: I20070830000631 |
Provider Name | Damian T Szewczyk |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1861403065 PECOS PAC ID: 5698702587 Enrollment ID: I20070831000190 |
Provider Name | Troy A Hixson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1730382458 PECOS PAC ID: 6002902137 Enrollment ID: I20071019000413 |
Provider Name | Craig S Swafford |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1053490417 PECOS PAC ID: 7618049339 Enrollment ID: I20080711000312 |
Provider Name | Mindy D Holloway |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881852671 PECOS PAC ID: 9739240516 Enrollment ID: I20081211000713 |
Provider Name | William J L Newton |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1619907433 PECOS PAC ID: 9032281316 Enrollment ID: I20090519000499 |
Provider Name | Paul M Haidak |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1871612515 PECOS PAC ID: 3971539446 Enrollment ID: I20090602000695 |
Provider Name | Amanda D Bradley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851534606 PECOS PAC ID: 8022169580 Enrollment ID: I20090624000353 |
Provider Name | John Friedland |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1689654345 PECOS PAC ID: 2668474230 Enrollment ID: I20090806000817 |
Provider Name | Isaac Joseph Mcfadden |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316165079 PECOS PAC ID: 3870647506 Enrollment ID: I20090814000489 |
Provider Name | Donald M Philpott |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1811941735 PECOS PAC ID: 3779612502 Enrollment ID: I20100603000493 |
Provider Name | Oscar Hernandez-cano |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1649266453 PECOS PAC ID: 7012986573 Enrollment ID: I20100831000359 |
Provider Name | Richard A Bagby |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1164415543 PECOS PAC ID: 2567450695 Enrollment ID: I20100928001235 |
Provider Name | Thomas Anderson Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023011764 PECOS PAC ID: 5799792032 Enrollment ID: I20101111000012 |
Provider Name | Martin Jason Fiala |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1619961976 PECOS PAC ID: 8729152483 Enrollment ID: I20101117000490 |
Provider Name | Jennie Lynn Williams |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841201472 PECOS PAC ID: 0042247934 Enrollment ID: I20110103000600 |
Provider Name | Anisa Nayeem |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1205922606 PECOS PAC ID: 6507866407 Enrollment ID: I20110729000123 |
Provider Name | Sue A Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376844357 PECOS PAC ID: 8729258850 Enrollment ID: I20110829000700 |
Provider Name | John Glen Carson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285943605 PECOS PAC ID: 3173795325 Enrollment ID: I20111011000692 |
Provider Name | Deadra R Tucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174828180 PECOS PAC ID: 5597930420 Enrollment ID: I20111205000696 |
Provider Name | Karen R Maze |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518242650 PECOS PAC ID: 0042487266 Enrollment ID: I20120111000509 |
Provider Name | Barry A Cortis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588825699 PECOS PAC ID: 8325206774 Enrollment ID: I20120215000282 |
Provider Name | Jamie N Hazard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790052165 PECOS PAC ID: 4183884794 Enrollment ID: I20120319000622 |
Provider Name | Ashley Michelle Dewitt |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1043476757 PECOS PAC ID: 2062662265 Enrollment ID: I20121024000729 |
Provider Name | Jennifer A Oneal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780948612 PECOS PAC ID: 3577708379 Enrollment ID: I20130327000384 |
Provider Name | Katie L Goodman-hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831449990 PECOS PAC ID: 4587803549 Enrollment ID: I20130624000323 |
Provider Name | Amanda Lynn Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245457670 PECOS PAC ID: 6800035692 Enrollment ID: I20130627000469 |
Provider Name | Frank Rao |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1427030782 PECOS PAC ID: 4486657913 Enrollment ID: I20140207000534 |
Provider Name | Holly Clem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780008391 PECOS PAC ID: 4688806987 Enrollment ID: I20140421002040 |
Provider Name | Roderick B Meese |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1336134642 PECOS PAC ID: 0547165565 Enrollment ID: I20150416002398 |
Provider Name | Karen R Fox |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306021712 PECOS PAC ID: 1355652835 Enrollment ID: I20150624003165 |
Provider Name | Walter J Boyanton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831135706 PECOS PAC ID: 3870500119 Enrollment ID: I20150729009219 |
Provider Name | John Michael Arnold |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1801093695 PECOS PAC ID: 8022266394 Enrollment ID: I20150817000262 |
Provider Name | Anne Burnett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053780262 PECOS PAC ID: 4688983877 Enrollment ID: I20151029001766 |
Provider Name | Jaideep Sood |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1184666505 PECOS PAC ID: 2567514367 Enrollment ID: I20151209000466 |
Provider Name | Fernando Dorrego |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750771556 PECOS PAC ID: 6901107804 Enrollment ID: I20151218000715 |
Provider Name | Robert W Gilbert |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1235346099 PECOS PAC ID: 5193861797 Enrollment ID: I20160226002064 |
Provider Name | Misti Howell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649675281 PECOS PAC ID: 2769788256 Enrollment ID: I20160309001705 |
Provider Name | Arthur W Davies |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770821365 PECOS PAC ID: 6901081322 Enrollment ID: I20161018000746 |
Provider Name | Sherrie L Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851740773 PECOS PAC ID: 8820376221 Enrollment ID: I20161104000837 |
Provider Name | Ethan Kellum |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1396907705 PECOS PAC ID: 5092958199 Enrollment ID: I20161205000206 |
Provider Name | Michelle S Val |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699868943 PECOS PAC ID: 0648444984 Enrollment ID: I20161206001343 |
Provider Name | Ronald Bonfiglio |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1215944947 PECOS PAC ID: 4587552260 Enrollment ID: I20170307002357 |
Provider Name | James Cleveland Eldridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477951036 PECOS PAC ID: 0143507228 Enrollment ID: I20170426002620 |
Provider Name | Melissa Smedley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831638691 PECOS PAC ID: 5395018998 Enrollment ID: I20170901001555 |
Provider Name | Adil H Khan |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1598044299 PECOS PAC ID: 8123394459 Enrollment ID: I20171031003382 |
Provider Name | Jolanta Szczarkowska |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1053363028 PECOS PAC ID: 6204194111 Enrollment ID: I20171226001712 |
Provider Name | Monica Meeks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144728031 PECOS PAC ID: 2264796184 Enrollment ID: I20180501001115 |
Provider Name | Mary Amanda Endsley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013410380 PECOS PAC ID: 1557616190 Enrollment ID: I20180621002207 |
Provider Name | Mary E Mcclain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992244495 PECOS PAC ID: 6608152582 Enrollment ID: I20180709001956 |
Provider Name | Clive Anderson Wasson |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1215372768 PECOS PAC ID: 8729213442 Enrollment ID: I20180814002646 |
Provider Name | Jeremy Wayne Owens |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639246739 PECOS PAC ID: 1557427929 Enrollment ID: I20180814003759 |
Provider Name | Timothy A Crater |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508845876 PECOS PAC ID: 0446285951 Enrollment ID: I20190114001111 |
Provider Name | Jason A. Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083173488 PECOS PAC ID: 2769724434 Enrollment ID: I20190429001818 |
Provider Name | Christopher M Murray |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760833974 PECOS PAC ID: 1254624133 Enrollment ID: I20190828004106 |
Provider Name | Melissa Ann Perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023676335 PECOS PAC ID: 3173852597 Enrollment ID: I20190911000503 |
Provider Name | Heather Ann Hyden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285292581 PECOS PAC ID: 1557690567 Enrollment ID: I20190916003470 |
Provider Name | Courtney Jeannine Murray |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1164818365 PECOS PAC ID: 2365735792 Enrollment ID: I20191011001600 |
Provider Name | Monica Gann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386290971 PECOS PAC ID: 7810323391 Enrollment ID: I20200130003348 |
Provider Name | Karen Gayle Brazier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568021483 PECOS PAC ID: 5496184509 Enrollment ID: I20200410000065 |
Provider Name | Tara B Tye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093340630 PECOS PAC ID: 9638509524 Enrollment ID: I20200416001190 |
Provider Name | Katelyn Denise Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265068910 PECOS PAC ID: 7012348642 Enrollment ID: I20200514000354 |
Provider Name | Brandi L. Thoma |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780204339 PECOS PAC ID: 6507287604 Enrollment ID: I20200527003139 |
Provider Name | Erica Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144851734 PECOS PAC ID: 4385065770 Enrollment ID: I20200611001520 |
Provider Name | Sherry Barstad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073952586 PECOS PAC ID: 5294153664 Enrollment ID: I20200916002587 |
Provider Name | David T Piskorowski |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760802938 PECOS PAC ID: 4587958905 Enrollment ID: I20201016000732 |
Provider Name | Amber N Sudberry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710585914 PECOS PAC ID: 1052721115 Enrollment ID: I20201102001369 |
Provider Name | Miranda Grider |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053615013 PECOS PAC ID: 0042498875 Enrollment ID: I20201123003417 |
Provider Name | Emma Shupp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225375538 PECOS PAC ID: 7012323777 Enrollment ID: I20210304002098 |
Provider Name | Nevindra N Mangru |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1780636126 PECOS PAC ID: 8628484912 Enrollment ID: I20210311001050 |
Provider Name | Michael Strickland |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1528033537 PECOS PAC ID: 1355319609 Enrollment ID: I20210505000299 |
Provider Name | Estefania Rivera Flores |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1891282620 PECOS PAC ID: 1254735962 Enrollment ID: I20210803001280 |
Provider Name | Mary Lisa Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356923189 PECOS PAC ID: 6204230147 Enrollment ID: I20210813002142 |
Provider Name | Kaitlyn R Martin |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1861920654 PECOS PAC ID: 5890064851 Enrollment ID: I20210909001573 |
Provider Name | Julianna Michele Cook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992472815 PECOS PAC ID: 9032517545 Enrollment ID: I20211014001135 |
Provider Name | Shannon Marie Foster |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174849889 PECOS PAC ID: 9931432069 Enrollment ID: I20220603001318 |
Provider Name | Amanda Stovall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457006249 PECOS PAC ID: 9830579853 Enrollment ID: I20220708001380 |
Provider Name | E'zoza Akhundjanova |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1366003683 PECOS PAC ID: 0648653956 Enrollment ID: I20220819000888 |
Provider Name | Jennifer Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114648490 PECOS PAC ID: 5890170542 Enrollment ID: I20220915001779 |
Provider Name | Jacqueline R Smartt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285197426 PECOS PAC ID: 4486030285 Enrollment ID: I20221003000085 |
Provider Name | Mallory Reeves |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1912388687 PECOS PAC ID: 3274919865 Enrollment ID: I20221005001900 |
Provider Name | Amy Hurst Evans |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1700897485 PECOS PAC ID: 1951338847 Enrollment ID: I20230310001201 |
Provider Name | Mary Delphine Heath |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1164518569 PECOS PAC ID: 7416321161 Enrollment ID: I20230320000794 |
Provider Name | Kevin Thompson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649279274 PECOS PAC ID: 4789645243 Enrollment ID: I20230330003101 |
Provider Name | Eric Bornemann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972930733 PECOS PAC ID: 1456726611 Enrollment ID: I20230331002258 |
Provider Name | Kay Fearing |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124801493 PECOS PAC ID: 3375998529 Enrollment ID: I20231009002496 |
Provider Name | Hailey Puckett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164295408 PECOS PAC ID: 8820447477 Enrollment ID: I20231208000682 |
Provider Name | Stephen K Otey |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1104977560 PECOS PAC ID: 0042311417 Enrollment ID: I20240423000818 |
Provider Name | Catherine Annalise Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881462158 PECOS PAC ID: 8921540261 Enrollment ID: I20240603000865 |
Southern Tennessee Primary Care - Walker Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 Hospital Rd, Suite D, Winchester, TN 37398 Phone: 931-967-8222 Fax: 931-967-8226 | |
Southern Tennessee Primary Care - Winchester Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2118 Cowan Hwy, Winchester, TN 37398 Phone: 931-962-4040 Fax: 931-962-2277 | |
Stephen Scott Sommerschield Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2230 Cowan Hwy Ste B, Winchester, TN 37398 Phone: 931-962-1345 Fax: 931-967-6439 | |
Center For Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Shirley Dr, Winchester, TN 37398 Phone: 931-967-0872 | |
Donald M. Philpott, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Hospital Rd, Suite B, Winchester, TN 37398 Phone: 931-962-4040 Fax: 931-962-2277 | |
Southern Tennessee Primary Care - Winchester Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Hospital Rd Ste E, Winchester, TN 37398 Phone: 931-962-0672 |