| Gregory F Vines, MD | |
|
712 Professional Plaza Dr, Greeneville, TN 37745-5138 | |
| (423) 820-0432 | |
| (423) 525-8795 |
| Full Name | Gregory F Vines |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 712 Professional Plaza Dr, Greeneville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609819291 | NPI | - | NPPES |
| 3895386 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 38604 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 38604 (Tennessee) | Primary |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
| Entity Name | Revida Recovery Centers Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013483486 PECOS PAC ID: 1153657473 Enrollment ID: O20190724003393 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory F Vines, MD 712 Professional Plaza Dr, Greeneville, TN 37745-5138 Ph: (423) 820-0432 | Gregory F Vines, MD 712 Professional Plaza Dr, Greeneville, TN 37745-5138 Ph: (423) 820-0432 |
Dr. Andy A Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 E Church St, Greeneville, TN 37745 Phone: 423-638-4131 Fax: 423-638-9239 | |
Jaime Oakley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1404 Tusculum Blvd, Laughlin Mob #3, Suite 2100/2300, Greeneville, TN 37745 Phone: 423-638-1188 Fax: 423-636-1514 | |
Dr. Kevin S Toppenberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1410 Tusculum Blvd, Suite 2600, Greeneville, TN 37745 Phone: 423-787-7000 | |
Sonja B Woods, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1404 Tusculum Blvd Ste 3000, Greeneville, TN 37745 Phone: 423-638-1188 Fax: 423-636-1514 | |
Amanda L Herrell, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 438 E Vann Rd Ste 100, Greeneville, TN 37743 Phone: 423-278-1700 Fax: 423-278-1708 | |
Connor Landers, Family Medicine Medicare: Medicare Enrolled Practice Location: 1404 Tusculum Blvd Ste 2200, Greeneville, TN 37745 Phone: 423-783-5520 | |
Michelle K Dilks, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1406 Tusculum Blvd, Suite 1200a, Greeneville, TN 37745 Phone: 423-783-5520 Fax: 423-783-5521 |