| Omni Community Health | |
|
145 Thompson Lane Nashville TN 37211-2411 | |
| (615) 781-0013 | |
| (615) 781-0688 |
| Full Name | Omni Community Health |
|---|---|
| Speciality | Social Worker |
| Location | 145 Thompson Lane, Nashville, Tennessee |
| Authorized Official Name and Position | Mark Just (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6157263603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Community Health 301 S. Perimeter Park Drive Suite 210 Nashville TN 37211-4128 Ph: (615) 726-3603 | Omni Community Health 145 Thompson Lane Nashville TN 37211-2411 Ph: (615) 781-0013 |
| NPI Number | 1437125416 |
|---|---|
| Provider Enumeration Date | 02/28/2006 |
| Last Update Date | 09/02/2020 |
| Certification Date | 09/02/2020 |
| Medicare PECOS PAC ID | 9739090994 |
|---|---|
| Medicare Enrollment ID | O20040817000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437125416 | NPI | - | NPPES |
| 3376955 | Medicaid | TN |
| Provider Name | Cynthia Rector |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942276829 PECOS PAC ID: 5395719975 Enrollment ID: I20040820000076 |
| Provider Name | Holly L Robertson- Rose |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1952482549 PECOS PAC ID: 2769491026 Enrollment ID: I20060413000597 |
| Provider Name | Suzanne D Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104995695 PECOS PAC ID: 0345322400 Enrollment ID: I20080128000688 |
| Provider Name | Sharon J Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760605786 PECOS PAC ID: 4082781026 Enrollment ID: I20080917000535 |
| Provider Name | John J Martens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043412638 PECOS PAC ID: 9638232010 Enrollment ID: I20090112000213 |
| Provider Name | Tory A Woodard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194738153 PECOS PAC ID: 4183772213 Enrollment ID: I20090429000645 |
| Provider Name | Ayse B Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538215769 PECOS PAC ID: 8325183189 Enrollment ID: I20100304000051 |
| Provider Name | Daniel Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740386879 PECOS PAC ID: 2567591779 Enrollment ID: I20100526001003 |
| Provider Name | Marian W Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073627485 PECOS PAC ID: 5294867529 Enrollment ID: I20100721000782 |
| Provider Name | Audra J Fegley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932340361 PECOS PAC ID: 2466648407 Enrollment ID: I20101202000121 |
| Provider Name | Jerrall P Crook |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306131370 PECOS PAC ID: 7618149287 Enrollment ID: I20111004000783 |
| Provider Name | Jana M Arwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134155708 PECOS PAC ID: 7517111529 Enrollment ID: I20130128000580 |
| Provider Name | Hayley Mcmichael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144650904 PECOS PAC ID: 4284861949 Enrollment ID: I20131230001291 |
| Provider Name | Tia R Layton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376944462 PECOS PAC ID: 1557582590 Enrollment ID: I20141016001414 |
| Provider Name | Donna Humbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346422920 PECOS PAC ID: 0648598631 Enrollment ID: I20150423002439 |
| Provider Name | Gertrude O Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740262104 PECOS PAC ID: 5496643975 Enrollment ID: I20150722004409 |
| Provider Name | Lindsay Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679950240 PECOS PAC ID: 6800104761 Enrollment ID: I20150928000581 |
| Provider Name | Carolyn Michelle Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487026761 PECOS PAC ID: 3476853524 Enrollment ID: I20151123001059 |
| Provider Name | Mitzie Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760722284 PECOS PAC ID: 5294959615 Enrollment ID: I20160225001559 |
| Provider Name | Erica L Ivey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700200490 PECOS PAC ID: 6608175591 Enrollment ID: I20160427001415 |
| Provider Name | Susan Jane Nix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194987065 PECOS PAC ID: 0749413409 Enrollment ID: I20161020001428 |
| Provider Name | Amy White Diller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477929917 PECOS PAC ID: 9234423492 Enrollment ID: I20170215002382 |
| Provider Name | Robbie L Hayter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275902686 PECOS PAC ID: 9537432786 Enrollment ID: I20170908003269 |
| Provider Name | Melissa Ann Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740797133 PECOS PAC ID: 6507121753 Enrollment ID: I20180517002654 |
| Provider Name | Vickie D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295232916 PECOS PAC ID: 1658628615 Enrollment ID: I20180721000011 |
| Provider Name | Kristen D Locke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649779760 PECOS PAC ID: 1951651645 Enrollment ID: I20180829004031 |
| Provider Name | Eboni Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225431950 PECOS PAC ID: 7113270547 Enrollment ID: I20181031002624 |
| Provider Name | Willard Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063756211 PECOS PAC ID: 7618120965 Enrollment ID: I20190227000381 |
| Provider Name | Elizabeth Lehmberg Crofford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447706585 PECOS PAC ID: 6305171935 Enrollment ID: I20190718000817 |
| Provider Name | Lauren Taylor Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679127245 PECOS PAC ID: 1850621962 Enrollment ID: I20191002001756 |
| Provider Name | Samuel Adler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952944027 PECOS PAC ID: 3476987199 Enrollment ID: I20200105000023 |
| Provider Name | Denis Kipkemoi Rono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932740941 PECOS PAC ID: 5092141556 Enrollment ID: I20200203000594 |
| Provider Name | Tiffany A Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952946337 PECOS PAC ID: 8820424989 Enrollment ID: I20200207002223 |
| Provider Name | Haley Weathers Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699314476 PECOS PAC ID: 5597194290 Enrollment ID: I20200401000428 |
| Provider Name | Jordan Andrew Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619516069 PECOS PAC ID: 0345679536 Enrollment ID: I20200409002509 |
| Provider Name | Travis Allen Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831731066 PECOS PAC ID: 4183054075 Enrollment ID: I20200416001207 |
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