| Justin D Gorsline, NP | |
|
2051 Hamill Rd, Hixson, TN 37343-6614 | |
| (423) 775-1121 | |
| (423) 495-2625 |
| Full Name | Justin D Gorsline |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2051 Hamill Rd, Hixson, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336778406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 27367 (Tennessee) | Primary |
| Entity Name | Memorial Health Partners Foundation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053545 PECOS PAC ID: 8022919570 Enrollment ID: O20040116000823 |
| Entity Name | Chattanooga Emergency Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427264126 PECOS PAC ID: 0042304032 Enrollment ID: O20070921000163 |
| Entity Name | South Central Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20190830001905 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin D Gorsline, NP 2525 Desales Ave, Chattanooga, TN 37404-1161 Ph: (423) 495-2525 | Justin D Gorsline, NP 2051 Hamill Rd, Hixson, TN 37343-6614 Ph: (423) 775-1121 |
Elizabeth Ruth Ann Hampton, ADULT NURSE PRACTITI Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Preston Station Dr, Hixson, TN 37343 Phone: 423-309-4663 | |
Brandi Hoback, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2051 Hamill Rd Ste 204, Hixson, TN 37343 Phone: 423-870-2450 Fax: 423-877-5208 | |
Rachel Nicole Kimble, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2051 Hamill Road, Hixson, TN 37343 Phone: 423-495-2625 Fax: 423-495-2620 | |
Jessica Stanley, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1017 Executive Dr, Suite 101, Hixson, TN 37343 Phone: 423-870-1999 | |
Ashley Sherae Hunter, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4980 Alpha Ln, Hixson, TN 37343 Phone: 423-497-5359 Fax: 423-877-5208 | |
Lakendra Porter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5450 Highway 153 Ste 126, Hixson, TN 37343 Phone: 865-201-7035 Fax: 865-761-2726 | |
Miss Alexis Nicole Boddy, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5120 Highway 153, Hixson, TN 37343 Phone: 866-389-2727 |