| Abode Care Partners, P.c. | |
|
750 Old Hickory Blvd Ste 264 Brentwood TN 37027-4528 | |
| (502) 630-7425 | |
| Not Available |
| Full Name | Abode Care Partners, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 Old Hickory Blvd Ste 264, Brentwood, Tennessee |
| Authorized Official Name and Position | William Mills (PRESIDENT) |
| Authorized Official Contact | 5023942100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abode Care Partners, P.c. 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: () - | Abode Care Partners, P.c. 750 Old Hickory Blvd Ste 264 Brentwood TN 37027-4528 Ph: (502) 630-7425 |
| NPI Number | 1720744345 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 09/23/2024 |
| Medicare PECOS PAC ID | 2860884137 |
|---|---|
| Medicare Enrollment ID | O20220118001817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720744345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Melinda L Phillips-freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538296496 PECOS PAC ID: 7517059744 Enrollment ID: I20070817000420 |
| Provider Name | Robert Guy Ferland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447256490 PECOS PAC ID: 5597847491 Enrollment ID: I20080131000164 |
| Provider Name | Miranda Huffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376662833 PECOS PAC ID: 8325194590 Enrollment ID: I20190215002062 |
| Provider Name | Connie J Fogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467894584 PECOS PAC ID: 7113248444 Enrollment ID: I20190305002637 |
| Provider Name | Jamison Beth Cornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093327066 PECOS PAC ID: 3870903867 Enrollment ID: I20201103000635 |
| Provider Name | Bailey Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427639731 PECOS PAC ID: 2062814593 Enrollment ID: I20210707001057 |
| Provider Name | Kathryn Kendall Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053932830 PECOS PAC ID: 0143694232 Enrollment ID: I20230313000036 |
| Provider Name | Omar Ramos Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922594167 PECOS PAC ID: 9638427396 Enrollment ID: I20231103002641 |
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