Speight Family Medical, Llc | |
76 Tabb Dr Suite E Munford TN 38058-8611 | |
(901) 840-2102 | |
(901) 840-1979 |
Full Name | Speight Family Medical, Llc |
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Speciality | Clinic/Center |
Location | 76 Tabb Dr, Munford, Tennessee |
Authorized Official Name and Position | Deanna Kimberlin Speight (OWNER/FNP) |
Authorized Official Contact | 9018402102 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Speight Family Medical, Llc 76 Tabb Dr Suite E Munford TN 38058-8611 Ph: (901) 840-2102 | Speight Family Medical, Llc 76 Tabb Dr Suite E Munford TN 38058-8611 Ph: (901) 840-2102 |
NPI Number | 1083895023 |
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Provider Enumeration Date | 11/19/2007 |
Last Update Date | 03/06/2017 |
Medicare PECOS PAC ID | 8224108048 |
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Medicare Enrollment ID | O20080605000715 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083895023 | NPI | - | NPPES |
1509248 | Medicaid | TN | |
1770531766 | Other | TN | NPI |
5442117 | Medicaid | TN | |
1679630891 | Other | TN | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 6874 (Tennessee) | Primary |
363LF0000X | Nurse Practitioner - Family | 6874 (Tennessee) | Secondary |
Provider Name | Deanna K Speight |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679630891 PECOS PAC ID: 9739088303 Enrollment ID: I20040102000324 |
Provider Name | Melissa A Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194150532 PECOS PAC ID: 5496981276 Enrollment ID: I20131127000301 |
Provider Name | Peyton Mckenzie Dean |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740963677 PECOS PAC ID: 3971951013 Enrollment ID: I20231129002635 |
Covington Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 Munford Ave, Munford, TN 38058 Phone: 901-840-3540 Fax: 901-840-3543 | |
May Medical Group P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Doctors Dr, Suite 700, Munford, TN 38058 Phone: 901-837-7200 Fax: 901-837-4769 |