| Ultra Health Provders | |
|
36 Pemberton Cv Jackson TN 38305 | |
| (731) 234-8120 | |
| Not Available |
| Full Name | Ultra Health Provders |
|---|---|
| Speciality | Internal Medicine |
| Location | 36 Pemberton Cv, Jackson, Tennessee |
| Authorized Official Name and Position | Charles Richard Jerman (MEMBER) |
| Authorized Official Contact | 7312348120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Health Provders 36 Pemberton Cv Jackson TN 38305-5514 Ph: () - | Ultra Health Provders 36 Pemberton Cv Jackson TN 38305 Ph: (731) 234-8120 |
| NPI Number | 1922469543 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 08/29/2018 |
| Medicare PECOS PAC ID | 6800186602 |
|---|---|
| Medicare Enrollment ID | O20160607002194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922469543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Syble S Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891797924 PECOS PAC ID: 2860454782 Enrollment ID: I20041102001032 |
| Provider Name | Viren J Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891725479 PECOS PAC ID: 4587628359 Enrollment ID: I20041116000024 |
| Provider Name | Margaret Ikard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518976315 PECOS PAC ID: 1456379684 Enrollment ID: I20051107000582 |
| Provider Name | Liesel W Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891838710 PECOS PAC ID: 9133227770 Enrollment ID: I20070606000170 |
| Provider Name | April D Downing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982843231 PECOS PAC ID: 4082763651 Enrollment ID: I20090601000564 |
| Provider Name | Alicia Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649509332 PECOS PAC ID: 8921139429 Enrollment ID: I20100628000401 |
| Provider Name | Leslie Leeann Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790063212 PECOS PAC ID: 0547430621 Enrollment ID: I20110829000031 |
| Provider Name | Jamie J Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407129794 PECOS PAC ID: 2163683418 Enrollment ID: I20120412000339 |
| Provider Name | Nance England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619287836 PECOS PAC ID: 7719112176 Enrollment ID: I20131021001664 |
| Provider Name | Courtney L Faught |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457789380 PECOS PAC ID: 2961625934 Enrollment ID: I20140520000572 |
| Provider Name | Danna Britt Jerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750706370 PECOS PAC ID: 0648493031 Enrollment ID: I20140604000938 |
| Provider Name | Sheila Carlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346643087 PECOS PAC ID: 2769604354 Enrollment ID: I20141114001987 |
| Provider Name | Loren S Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104168178 PECOS PAC ID: 0749409209 Enrollment ID: I20150421001883 |
| Provider Name | Kristin Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578923371 PECOS PAC ID: 4981996048 Enrollment ID: I20160711000494 |
| Provider Name | Lesley Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649829185 PECOS PAC ID: 5496064941 Enrollment ID: I20191024003457 |
| Provider Name | Alison Clement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235760273 PECOS PAC ID: 6709214620 Enrollment ID: I20200306001930 |
| Provider Name | Travis Allen Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831731066 PECOS PAC ID: 4183054075 Enrollment ID: I20200416001207 |
| Provider Name | Anna Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912333113 PECOS PAC ID: 4789902750 Enrollment ID: I20200506000345 |
| Provider Name | Donna Luckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609332840 PECOS PAC ID: 8729400395 Enrollment ID: I20200629000468 |
| Provider Name | Lakita Mae Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649825829 PECOS PAC ID: 3173922317 Enrollment ID: I20210524001305 |
| Provider Name | Sonia Murehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659951671 PECOS PAC ID: 7911210612 Enrollment ID: I20210817003773 |
| Provider Name | Chrystal Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326696907 PECOS PAC ID: 3870920333 Enrollment ID: I20220113000632 |
| Provider Name | Pragneshkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073075842 PECOS PAC ID: 6507248242 Enrollment ID: I20220728000375 |
| Provider Name | Aaliyah Samone Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982365268 PECOS PAC ID: 0042695843 Enrollment ID: I20220914003676 |
| Provider Name | Lakesha Brisbane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790318848 PECOS PAC ID: 9739517723 Enrollment ID: I20220921003678 |
| Provider Name | Kayla C Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205557964 PECOS PAC ID: 2769852698 Enrollment ID: I20230110001477 |
| Provider Name | Rebecca Loatwall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639875032 PECOS PAC ID: 7416320494 Enrollment ID: I20230223000159 |
| Provider Name | Jesica Marie Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992407134 PECOS PAC ID: 0143695064 Enrollment ID: I20230406002502 |
| Provider Name | Gina Trombley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518728724 PECOS PAC ID: 5092167288 Enrollment ID: I20240124000666 |
| Provider Name | Heather Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891551784 PECOS PAC ID: 1557707858 Enrollment ID: I20240308002223 |
| Provider Name | Jessica Altman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245569722 PECOS PAC ID: 0042681405 Enrollment ID: I20240423002536 |
Therapy & Learning Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32 Garland Dr, Jackson, TN 38305 Phone: 731-668-3322 Fax: 731-664-2491 | |
Wellness Clinic And Family Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Meridian Springs Dr, Jackson, TN 38301 Phone: 731-256-0526 Fax: 731-256-1720 | |
Ultimate Health Clinic North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Murray Guard Dr Ste B, Jackson, TN 38305 Phone: 731-660-0887 Fax: 731-660-9996 | |
West Tennessee Medical Group Ut Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-660-8739 | |
Ultra Health Providers Ii Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton Cv, Jackson, TN 38305 Phone: 731-394-1145 | |
The Medical Clinic Of Jackson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 587 Skyline Dr, Jackson, TN 38301 Phone: 731-424-8922 Fax: 731-423-2922 | |
West Tennessee Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-660-8730 Fax: 731-660-8739 |