| Kimbel David Shepherd, MD | |
|
2025 N Mount Juliet Rd Ste 200, Mount Juliet, TN 37122-3934 | |
| (629) 255-2034 | |
| (629) 255-4225 |
| Full Name | Kimbel David Shepherd |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2025 N Mount Juliet Rd Ste 200, Mount Juliet, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336133891 | NPI | - | NPPES |
| 5440108 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD38628 (Tennessee) | Primary |
| Entity Name | Heritage Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548284060 PECOS PAC ID: 4688651037 Enrollment ID: O20040702000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimbel David Shepherd, MD 222 22nd Ave N, Nashville, TN 37203-1870 Ph: (629) 255-3486 | Kimbel David Shepherd, MD 2025 N Mount Juliet Rd Ste 200, Mount Juliet, TN 37122-3934 Ph: (629) 255-2034 |
Dr. William Samuel Wiseman Ii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 506 Reserve Pl, Mount Juliet, TN 37122 Phone: 615-423-5437 | |
Mercy Jaramillo, FNP-C Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1417 Fairview Drive, Mount Juliet, TN 37122 Phone: 615-300-6915 Fax: 615-222-1917 | |
Jennifer Elaine Cox, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 N Mount Juliet Rd, Suite 200, Mount Juliet, TN 37122 Phone: 615-754-7337 Fax: 615-754-7338 | |
Lauren Williams Cole, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 N Mount Juliet Rd Ste 200, Mount Juliet, TN 37122 Phone: 629-255-2020 |