| University Of Tennessee | |
|
294 Summar Dr Jackson TN 38301-3915 | |
| (731) 423-1932 | |
| (731) 423-4919 |
| Full Name | University Of Tennessee |
|---|---|
| Speciality | Family Medicine |
| Location | 294 Summar Dr, Jackson, Tennessee |
| Authorized Official Name and Position | Joan L Porter (MANAGER) |
| Authorized Official Contact | 7312658220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Tennessee 294 Summar Dr Dept. 289 Jackson TN 38301-3915 Ph: (731) 265-8220 | University Of Tennessee 294 Summar Dr Jackson TN 38301-3915 Ph: (731) 423-1932 |
| NPI Number | 1780686436 |
|---|---|
| Provider Enumeration Date | 08/12/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3072421213 |
|---|---|
| Medicare Enrollment ID | O20031119000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780686436 | NPI | - | NPPES |
| 3375617 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
| Provider Name | Kenneth M Anderson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245316017 PECOS PAC ID: 0042292146 Enrollment ID: I20040603001384 |
| Provider Name | Bethany J Lawrence |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801823109 PECOS PAC ID: 2860471190 Enrollment ID: I20040814000048 |
| Provider Name | Mark A Branch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689664674 PECOS PAC ID: 9537197801 Enrollment ID: I20050728000231 |
| Provider Name | John S White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902875057 PECOS PAC ID: 0042240137 Enrollment ID: I20050818000221 |
| Provider Name | David L Maness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093705576 PECOS PAC ID: 4587757794 Enrollment ID: I20070904000648 |
| Provider Name | Donald B Hatcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932224938 PECOS PAC ID: 4385709443 Enrollment ID: I20090224000642 |
| Provider Name | Norberto J Celarie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700063351 PECOS PAC ID: 8224181185 Enrollment ID: I20090725000048 |
| Provider Name | Peter T Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821127093 PECOS PAC ID: 1658310115 Enrollment ID: I20100201000162 |
| Provider Name | Jason A Myatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477726487 PECOS PAC ID: 6002941549 Enrollment ID: I20100323000073 |
| Provider Name | Avinash Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609874312 PECOS PAC ID: 5496889479 Enrollment ID: I20100812000394 |
| Provider Name | Ruth E Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104923598 PECOS PAC ID: 1850375197 Enrollment ID: I20101029001046 |
| Provider Name | Jonathan Tyler English |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144463431 PECOS PAC ID: 2668651597 Enrollment ID: I20110125000624 |
| Provider Name | Monica C Romanko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568498723 PECOS PAC ID: 9739182452 Enrollment ID: I20110329000592 |
| Provider Name | Lisa M Norlander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265695878 PECOS PAC ID: 7214112259 Enrollment ID: I20110714000287 |
| Provider Name | Nicole Beal Jaques |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851563019 PECOS PAC ID: 4183895329 Enrollment ID: I20110920000927 |
| Provider Name | James Winston Truett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952544249 PECOS PAC ID: 3375715642 Enrollment ID: I20111010000187 |
| Provider Name | Travis P Albright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356504765 PECOS PAC ID: 6002096310 Enrollment ID: I20120501000672 |
| Provider Name | Phyllis Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023374279 PECOS PAC ID: 2264694165 Enrollment ID: I20120509000473 |
| Provider Name | Marie Charlene Pittman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780827071 PECOS PAC ID: 5496911059 Enrollment ID: I20120725001006 |
| Provider Name | Vaishali H Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942437603 PECOS PAC ID: 8820112659 Enrollment ID: I20120831000698 |
| Provider Name | Elly K Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063649408 PECOS PAC ID: 7517116528 Enrollment ID: I20121008000569 |
| Provider Name | Justin L Marlar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609165760 PECOS PAC ID: 0143470799 Enrollment ID: I20121017000474 |
| Provider Name | Ernest James Mcclinton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023247566 PECOS PAC ID: 8022289172 Enrollment ID: I20130109000727 |
| Provider Name | Jeffrey H Brooks |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1265694590 PECOS PAC ID: 1658526017 Enrollment ID: I20130311000048 |
| Provider Name | Brian Allen Lindsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699086454 PECOS PAC ID: 1557506078 Enrollment ID: I20130403000424 |
| Provider Name | Jon E Zamber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508180183 PECOS PAC ID: 2163668203 Enrollment ID: I20130417000038 |
| Provider Name | William B May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528382199 PECOS PAC ID: 0446496590 Enrollment ID: I20130417000146 |
| Provider Name | Antonio Chantill Capps |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548559693 PECOS PAC ID: 8022258821 Enrollment ID: I20130906000270 |
| Provider Name | Stephanie D Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891084935 PECOS PAC ID: 4587802079 Enrollment ID: I20140927000385 |
| Provider Name | Ewa Kalinowska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427345438 PECOS PAC ID: 2163652322 Enrollment ID: I20140930001682 |
| Provider Name | Prathiba Vermani-sethi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942636626 PECOS PAC ID: 0143448431 Enrollment ID: I20141001001819 |
| Provider Name | Ross Kurland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902148976 PECOS PAC ID: 5890934590 Enrollment ID: I20150401002664 |
| Provider Name | Crystal L Hoonhorst-parson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467718734 PECOS PAC ID: 1254579808 Enrollment ID: I20150526001521 |
| Provider Name | Dewight Cowley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609069186 PECOS PAC ID: 6204060650 Enrollment ID: I20150526002354 |
| Provider Name | Ashish M Bhakta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598021867 PECOS PAC ID: 7618115858 Enrollment ID: I20150916002617 |
| Provider Name | John D Pitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265787295 PECOS PAC ID: 2466694039 Enrollment ID: I20150923003092 |
| Provider Name | Paula A Shelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396004149 PECOS PAC ID: 5496064578 Enrollment ID: I20151013001137 |
| Provider Name | Aley H Hamadani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659637924 PECOS PAC ID: 2769621770 Enrollment ID: I20151027001489 |
| Provider Name | Matthew A Wynne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306263678 PECOS PAC ID: 0941429591 Enrollment ID: I20160427001103 |
| Provider Name | Salmaan S Muneer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578903662 PECOS PAC ID: 4486948163 Enrollment ID: I20160803000466 |
| Provider Name | Brandon A Chappell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427463454 PECOS PAC ID: 9032431341 Enrollment ID: I20160809002621 |
| Provider Name | Bryce Alain Moody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396189403 PECOS PAC ID: 9638312002 Enrollment ID: I20160818002646 |
| Provider Name | Grant Kneeland Studebaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265774236 PECOS PAC ID: 0244479392 Enrollment ID: I20160831001947 |
| Provider Name | Ismat Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568807980 PECOS PAC ID: 5496041725 Enrollment ID: I20160912002687 |
| Provider Name | Lisa M Wiedel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831166966 PECOS PAC ID: 9931233103 Enrollment ID: I20170215001279 |
| Provider Name | Shokoufeh Shahrabi Farahani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902183940 PECOS PAC ID: 0143599514 Enrollment ID: I20170629000335 |
| Provider Name | Christopher M Knight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790102069 PECOS PAC ID: 5698994150 Enrollment ID: I20170629003015 |
| Provider Name | Deline Kirubanathan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083031355 PECOS PAC ID: 3870712318 Enrollment ID: I20170901002888 |
| Provider Name | Rebekah C Kollar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356769640 PECOS PAC ID: 2668745993 Enrollment ID: I20170907001647 |
| Provider Name | Stephen Christopher Haney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093132367 PECOS PAC ID: 6305065863 Enrollment ID: I20171010002062 |
| Provider Name | Travis W Mckinzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326465691 PECOS PAC ID: 6103108683 Enrollment ID: I20171115000240 |
| Provider Name | Jordan Ingram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679952535 PECOS PAC ID: 1153620885 Enrollment ID: I20180724001176 |
| Provider Name | Amberley Renee Lemoine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104212844 PECOS PAC ID: 0941589782 Enrollment ID: I20180801003834 |
| Provider Name | Kyle Wayne Coffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992979785 PECOS PAC ID: 3375612708 Enrollment ID: I20180809000119 |
| Provider Name | Steven Tyler Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972921096 PECOS PAC ID: 4981910262 Enrollment ID: I20180814001063 |
| Provider Name | Saurabh S Sachan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225422637 PECOS PAC ID: 8628381530 Enrollment ID: I20180828001981 |
| Provider Name | Breanna Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013399112 PECOS PAC ID: 7911204508 Enrollment ID: I20180914001235 |
| Provider Name | David Glenn Ransom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144616996 PECOS PAC ID: 9436460466 Enrollment ID: I20180925002555 |
| Provider Name | Christiana Bediako |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639551369 PECOS PAC ID: 1557664349 Enrollment ID: I20181001002300 |
| Provider Name | Tony Bullon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881089993 PECOS PAC ID: 8921302399 Enrollment ID: I20181017001692 |
| Provider Name | Michael Adebayo Ajakaiye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831346980 PECOS PAC ID: 1557582541 Enrollment ID: I20181112000809 |
| Provider Name | Ammar Rahim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255719902 PECOS PAC ID: 5395051171 Enrollment ID: I20181205002536 |
| Provider Name | Micheal Williams |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1598744120 PECOS PAC ID: 6002144797 Enrollment ID: I20190819003586 |
| Provider Name | Brett Allen Wilson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1386025963 PECOS PAC ID: 5092028589 Enrollment ID: I20220925000070 |
| Provider Name | Nicholas Mechas |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1164886362 PECOS PAC ID: 5597052498 Enrollment ID: I20221108000630 |
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 |