| Deborah Wyatt Gaddis, NP-C | |
|
24 Mountain View Dr, Suite A, Kimball, TN 37347-5477 | |
| (423) 942-9171 | |
| (423) 942-9128 |
| Full Name | Deborah Wyatt Gaddis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 24 Mountain View Dr, Kimball, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619246873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 16232 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkridge Medical Center | Chattanooga, TN | Hospital |
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sequatchie Valley Primary Care | 7810164050 | 6 |
| Entity Name | Minuteclinic Diagnostic Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457323164 PECOS PAC ID: 2961428990 Enrollment ID: O20051019000798 |
| Entity Name | Crossroads Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366644361 PECOS PAC ID: 8325117484 Enrollment ID: O20080515000672 |
| Entity Name | Sequatchie Valley Primary Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518171040 PECOS PAC ID: 7810164050 Enrollment ID: O20120111000673 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Wyatt Gaddis, NP-C 24 Mountain View Dr, Suite A, Kimball, TN 37347-5477 Ph: (423) 942-9171 | Deborah Wyatt Gaddis, NP-C 24 Mountain View Dr, Suite A, Kimball, TN 37347-5477 Ph: (423) 942-9171 |
Kelsey E Dent, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Mountain View Dr Ste A, Kimball, TN 37347 Phone: 423-942-9171 Fax: 423-942-9128 | |
Gary Newton Elledge, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1511 Main St, Kimball, TN 37347 Phone: 423-837-6000 | |
Silke Hoosier, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Mountain View Dr, Suite A, Kimball, TN 37347 Phone: 423-942-9171 Fax: 423-942-9128 |