| Kevin Eugene Groh, PA-C | |
|
5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013 | |
| (615) 891-2070 | |
| (615) 891-2056 |
| Full Name | Kevin Eugene Groh |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 5380 Hickory Hollow Pkwy Ste 201, Antioch, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013356757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3489 (Tennessee) | Primary |
| 363A00000X | Physician Assistant | 23034 (California) | Secondary |
| Entity Name | Fast Pace Medical Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Entity Name | National Health Rehabilitation LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780080218 PECOS PAC ID: 4284952615 Enrollment ID: O20160720001209 |
| Entity Name | Seven Springs Orthopaedics, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194210005 PECOS PAC ID: 2668725557 Enrollment ID: O20181023001041 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Eugene Groh, PA-C Po Box 22239, New York, NY 10087-0001 Ph: (702) 899-0595 | Kevin Eugene Groh, PA-C 5380 Hickory Hollow Pkwy Ste 201, Antioch, TN 37013 Ph: (615) 891-2070 |
Mrs. Malinda A Johnson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5801 Crossings Blvd, Antioch, TN 37013 Phone: 615-941-8501 Fax: 615-941-8102 |
Bola Gabriel, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5100 Brookstone Ct, Antioch, TN 37013 Phone: 615-569-4067 |
Mr. Andrew Brothers, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1209 Sundown Ct, Antioch, TN 37013 Phone: 931-409-7364 |
Keisha Higgins, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 845 Bell Rd Ste 115, Antioch, TN 37013 Phone: 855-738-4832 |
Megynn Marilla Webb, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5801 Crossings Blvd, Antioch, TN 37013 Phone: 615-941-8501 |
Molly Buring, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3556 Murfreesboro Pike, Antioch, TN 37013 Phone: 629-207-7996 |
Richard Terry Washington Jr., Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5108 Singing Hills Dr, Antioch, TN 37013 Phone: 615-971-6507 Fax: 615-641-7588 |