| Mr Johnny Wayne Presley, PAC | |
|
100 S Duncan St, Jamestown, TN 38556-3009 | |
| (931) 879-5864 | |
| (931) 879-3903 |
| Full Name | Mr Johnny Wayne Presley |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 35 Years |
| Location | 100 S Duncan St, Jamestown, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427069749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA130 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Big South Fork Medical Center | Oneida, TN | Hospital |
| Tennova Healthcare North Knoxville Medical Center | Powell, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott County Community Hospital Inc | 3375829112 | 15 |
| Entity Name | Covenant Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030 |
| Entity Name | Pikeville Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316321953 PECOS PAC ID: 4688981632 Enrollment ID: O20150923002507 |
| Entity Name | Scott County Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1124536990 PECOS PAC ID: 3375829112 Enrollment ID: O20180327002959 |
| Entity Name | Acute Care Clinics of America, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780235564 PECOS PAC ID: 6305273392 Enrollment ID: O20200304001675 |
| Entity Name | Monterey Medical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497339790 PECOS PAC ID: 7012316961 Enrollment ID: O20210811003455 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Johnny Wayne Presley, PAC Po Box 2861, Crossville, TN 38557-2861 Ph: (931) 879-5864 | Mr Johnny Wayne Presley, PAC 100 S Duncan St, Jamestown, TN 38556-3009 Ph: (931) 879-5864 |