| Wesley Primary Care | |
|
138 Industrial Dr Elizabethton TN 37643-4644 | |
| (423) 542-7007 | |
| (423) 543-2273 |
| Full Name | Wesley Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 138 Industrial Dr, Elizabethton, Tennessee |
| Authorized Official Name and Position | Charles O Famoyin (PRESIDENT/CEO) |
| Authorized Official Contact | 4234318889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wesley Primary Care 302 Wesley St Ste 3 Johnson City TN 37601-1741 Ph: (423) 548-7007 | Wesley Primary Care 138 Industrial Dr Elizabethton TN 37643-4644 Ph: (423) 542-7007 |
| NPI Number | 1821718131 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/25/2023 |
| Medicare PECOS PAC ID | 3072981083 |
|---|---|
| Medicare Enrollment ID | O20221123001109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821718131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Charles O Famoyin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003807355 PECOS PAC ID: 9739173980 Enrollment ID: I20070614000122 |
| Provider Name | Sarah E Hammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205191780 PECOS PAC ID: 6608014725 Enrollment ID: I20130531000489 |
| Provider Name | Julie K Gilliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780119875 PECOS PAC ID: 3577836162 Enrollment ID: I20230724001165 |
Mountain Empire Medical And Surgical Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1503 W Elk Ave, Suite 8, Elizabethton, TN 37643 Phone: 423-542-0400 Fax: 423-542-0201 | |
Carter County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 E G St, Elizabethton, TN 37643 Phone: 423-543-2521 | |
Northeast Tennessee Medical Associates Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Rogosin Dr, Elizabethton, TN 37643 Phone: 423-542-5505 Fax: 423-542-5573 | |
James Lee Davenport Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 Pine Hill Rd, Elizabethton, TN 37643 Phone: 423-542-4189 Fax: 423-542-4181 | |
Msmg Im Eliz Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1497 W Elk Ave, Suite 20, Elizabethton, TN 37643 Phone: 423-547-2762 Fax: 423-542-8621 | |
Ballad Health Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1497 West Elk Ave, Suite 21, Elizabethton, TN 37643 Phone: 423-542-7420 Fax: 423-542-7425 | |
Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 W Elk Ave, Elizabethton, TN 37643 Phone: 423-431-0512 Fax: 423-722-2060 |