| Neurology Clinic, Pc | |
|
8000 Centerview Pkwy Ste 500 Cordova TN 38018-4254 | |
| (901) 747-1111 | |
| (901) 747-1137 |
| Full Name | Neurology Clinic, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8000 Centerview Pkwy Ste 500, Cordova, Tennessee |
| Authorized Official Name and Position | Chip Harris (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9012557155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Clinic, Pc 8000 Centerview Pkwy Ste 500 Cordova TN 38018-4254 Ph: (901) 747-1111 | Neurology Clinic, Pc 8000 Centerview Pkwy Ste 500 Cordova TN 38018-4254 Ph: (901) 747-1111 |
| NPI Number | 1942233952 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 05/26/2023 |
| Certification Date | 05/26/2023 |
| Medicare PECOS PAC ID | 8729066352 |
|---|---|
| Medicare Enrollment ID | O20040710000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942233952 | NPI | - | NPPES |
| 3703553 | Medicaid | TN |
| Provider Name | Lee S Stein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558392233 PECOS PAC ID: 6002894318 Enrollment ID: I20040713000376 |
| Provider Name | Barbara C O Brien |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972555696 PECOS PAC ID: 4789662909 Enrollment ID: I20040713000515 |
| Provider Name | Thomas W Arnold |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366494668 PECOS PAC ID: 4981682119 Enrollment ID: I20040713000566 |
| Provider Name | Laura E Porch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487609509 PECOS PAC ID: 7618074287 Enrollment ID: I20070921000173 |
| Provider Name | Kendrick Knoll Henderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760452577 PECOS PAC ID: 7113091687 Enrollment ID: I20080731000509 |
| Provider Name | Rahul Sonone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881815801 PECOS PAC ID: 2163590787 Enrollment ID: I20081009000584 |
| Provider Name | Carol H Scroggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962646638 PECOS PAC ID: 8628119344 Enrollment ID: I20100104000241 |
| Provider Name | David L Pritchard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871713537 PECOS PAC ID: 4789876475 Enrollment ID: I20101013000809 |
| Provider Name | Cara B Pendley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376760439 PECOS PAC ID: 0446416697 Enrollment ID: I20120717000093 |
| Provider Name | Joshua Lennon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427369172 PECOS PAC ID: 9133366941 Enrollment ID: I20141106002460 |
| Provider Name | Kelly J Vrettos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801323399 PECOS PAC ID: 9133485121 Enrollment ID: I20171107003212 |
| Provider Name | Danielle Deanna Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730603192 PECOS PAC ID: 5799035291 Enrollment ID: I20180904002623 |
| Provider Name | Rasmoni Roy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215378948 PECOS PAC ID: 3870830755 Enrollment ID: I20190131000073 |
| Provider Name | Oleksandra Dryn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366861510 PECOS PAC ID: 3274960042 Enrollment ID: I20200218001008 |
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