| Campbell Clinic, PC | |
|
1400 S Germantown Rd Germantown TN 38138-2205 | |
| (901) 759-3100 | |
| Not Available |
| Full Name | Campbell Clinic, PC |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 1400 S Germantown Rd, Germantown, Tennessee |
| Authorized Official Name and Position | Daniel Shumate (CEO) |
| Authorized Official Contact | 9017593100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Clinic, PC 1400 S Germantown Rd Germantown TN 38138-2205 Ph: (901) 759-3100 | Campbell Clinic, PC 1400 S Germantown Rd Germantown TN 38138-2205 Ph: (901) 759-3100 |
| NPI Number | 1003835141 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 06/13/2025 |
| Certification Date | 06/13/2025 |
| Medicare PECOS PAC ID | 9638082076 |
|---|---|
| Medicare Enrollment ID | O20031111000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003835141 | NPI | - | NPPES |
| 09010261 | Medicaid | MS | |
| 107015002 | Medicaid | AR | |
| 81355 | Other | AR | BLUE CROSS BLUE SHIELD AR |
| 3373783 | Medicaid | TN |
| Provider Name | Marc J Mihalko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568459345 PECOS PAC ID: 5597678946 Enrollment ID: I20031113000076 |
| Provider Name | David R Richardson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912994450 PECOS PAC ID: 9537117783 Enrollment ID: I20050720000464 |
| Provider Name | Jeffrey Sawyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154318038 PECOS PAC ID: 8022921972 Enrollment ID: I20051102001073 |
| Provider Name | Marie J Barron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407263056 PECOS PAC ID: 5193732170 Enrollment ID: I20060316000030 |
| Provider Name | John D Dockery |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245279991 PECOS PAC ID: 1557365996 Enrollment ID: I20060828000112 |
| Provider Name | James H Calandruccio |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1316933138 PECOS PAC ID: 4183705692 Enrollment ID: I20080122000479 |
| Provider Name | Chad M Brooks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063505857 PECOS PAC ID: 0446207211 Enrollment ID: I20080501000292 |
| Provider Name | Anthony a Mascioli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316142821 PECOS PAC ID: 2062586415 Enrollment ID: I20080801000415 |
| Provider Name | Derek M Kelly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649499971 PECOS PAC ID: 0143394478 Enrollment ID: I20081001000367 |
| Provider Name | William Mihalko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013086644 PECOS PAC ID: 0749211324 Enrollment ID: I20090821000494 |
| Provider Name | Henry Lowell Sherman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417002965 PECOS PAC ID: 2769574425 Enrollment ID: I20091006000237 |
| Provider Name | Patrick C Toy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538374145 PECOS PAC ID: 8527110659 Enrollment ID: I20091012000227 |
| Provider Name | Thomas W Throckmorton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740337625 PECOS PAC ID: 7315038981 Enrollment ID: I20091110000445 |
| Provider Name | Carlos E Rivera-tavarez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881681070 PECOS PAC ID: 6709078462 Enrollment ID: I20101013000492 |
| Provider Name | Frederick M Azar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821084633 PECOS PAC ID: 1951593623 Enrollment ID: I20101013000555 |
| Provider Name | Santos F Martinez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427045111 PECOS PAC ID: 7517150303 Enrollment ID: I20101025001306 |
| Provider Name | Keith D Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154318947 PECOS PAC ID: 4981898665 Enrollment ID: I20101027000827 |
| Provider Name | John C Weinlein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285834804 PECOS PAC ID: 0345394631 Enrollment ID: I20101028000401 |
| Provider Name | Gregory Dabov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699761387 PECOS PAC ID: 4183707607 Enrollment ID: I20101028001055 |
| Provider Name | Ashley L Park |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477540169 PECOS PAC ID: 0547454142 Enrollment ID: I20101103000446 |
| Provider Name | Garnett a Murphy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952398646 PECOS PAC ID: 0547343063 Enrollment ID: I20101103000498 |
| Provider Name | James L Guyton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861488561 PECOS PAC ID: 9638252158 Enrollment ID: I20101103000564 |
| Provider Name | Allision P Whittle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710974605 PECOS PAC ID: 9931393865 Enrollment ID: I20101104000331 |
| Provider Name | John R Crockarell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427044197 PECOS PAC ID: 5496949273 Enrollment ID: I20101105000453 |
| Provider Name | Robert H Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265429765 PECOS PAC ID: 7113111691 Enrollment ID: I20101105000580 |
| Provider Name | Kevin Cleveland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508853250 PECOS PAC ID: 8527253103 Enrollment ID: I20101118000332 |
| Provider Name | Robert Heck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487640108 PECOS PAC ID: 6709072671 Enrollment ID: I20101118000705 |
| Provider Name | Barry Phillips |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578550976 PECOS PAC ID: 1254527047 Enrollment ID: I20101118000970 |
| Provider Name | Barry Phillips |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578550976 PECOS PAC ID: 1254527047 Enrollment ID: I20101122000088 |
| Provider Name | Robert Heck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487640108 PECOS PAC ID: 6709072671 Enrollment ID: I20101122000107 |
| Provider Name | Matthew I Rudloff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265644090 PECOS PAC ID: 0345315925 Enrollment ID: I20101228000035 |
| Provider Name | John C Hyden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548303381 PECOS PAC ID: 7618029851 Enrollment ID: I20110311000067 |
| Provider Name | Nahum Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306942297 PECOS PAC ID: 1951330976 Enrollment ID: I20120904000469 |
| Provider Name | David Daniel Spence |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730395542 PECOS PAC ID: 4183870629 Enrollment ID: I20121004000325 |
| Provider Name | Benjamin Grear |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922214923 PECOS PAC ID: 6204083363 Enrollment ID: I20131010001554 |
| Provider Name | Douglas Todd Cannon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376569210 PECOS PAC ID: 9739267683 Enrollment ID: I20140609000241 |
| Provider Name | Christy L Egbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023431517 PECOS PAC ID: 4688807811 Enrollment ID: I20141021000754 |
| Provider Name | Danielle Leigh Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962757740 PECOS PAC ID: 9436305687 Enrollment ID: I20141024000406 |
| Provider Name | Tanya Mcfadden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477960490 PECOS PAC ID: 8123077203 Enrollment ID: I20150220000789 |
| Provider Name | Christal Harwell-mostert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427465574 PECOS PAC ID: 0143546028 Enrollment ID: I20150312000682 |
| Provider Name | Jennifer Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093122145 PECOS PAC ID: 6305164450 Enrollment ID: I20150421002158 |
| Provider Name | Norfleet Buckner Thompson |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1952536641 PECOS PAC ID: 0749597235 Enrollment ID: I20150916000621 |
| Provider Name | Michael Jason Beebe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497071146 PECOS PAC ID: 7315179116 Enrollment ID: I20160809002294 |
| Provider Name | Hajra Motiwala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306212543 PECOS PAC ID: 2466761721 Enrollment ID: I20160823002592 |
| Provider Name | Clayton Charles Bettin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376861849 PECOS PAC ID: 2769708650 Enrollment ID: I20160831000792 |
| Provider Name | Benjamin West Sheffer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700176203 PECOS PAC ID: 6507152774 Enrollment ID: I20170714000702 |
| Provider Name | Tyler James Brolin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053601591 PECOS PAC ID: 5890089627 Enrollment ID: I20170718001116 |
| Provider Name | John Mangialardi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235650292 PECOS PAC ID: 6002186111 Enrollment ID: I20170724000678 |
| Provider Name | Meredith K Mccormick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932629805 PECOS PAC ID: 3779854161 Enrollment ID: I20170803000722 |
| Provider Name | Ashleigh Twyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720336852 PECOS PAC ID: 8729239975 Enrollment ID: I20170811001705 |
| Provider Name | Matthew Kyle Bills |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407379944 PECOS PAC ID: 4880956457 Enrollment ID: I20180319001520 |
| Provider Name | William Jacob Weller |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1013278084 PECOS PAC ID: 8527204312 Enrollment ID: I20180724001046 |
| Provider Name | Kelley M. Funderburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831621952 PECOS PAC ID: 4789952169 Enrollment ID: I20181010001549 |
| Provider Name | Matthew L Carroll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346595014 PECOS PAC ID: 4486802972 Enrollment ID: I20181206001095 |
| Provider Name | David Bernholt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245501436 PECOS PAC ID: 3173752540 Enrollment ID: I20190729002725 |
| Provider Name | Hailey Daniels Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154951739 PECOS PAC ID: 8527495548 Enrollment ID: I20200303001328 |
| Provider Name | Steven Tyler Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972921096 PECOS PAC ID: 4981910262 Enrollment ID: I20200622002827 |
| Provider Name | Christopher Cosgrove |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952715187 PECOS PAC ID: 3971724030 Enrollment ID: I20200723000137 |
| Provider Name | Kirk Michael Thompson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841610458 PECOS PAC ID: 4385977255 Enrollment ID: I20200723001284 |
| Provider Name | Michael D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174139182 PECOS PAC ID: 3971914102 Enrollment ID: I20201202001590 |
| Provider Name | Kyle Hagan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841719390 PECOS PAC ID: 0345668687 Enrollment ID: I20201207001275 |
| Provider Name | Cody Mitchell Hastings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811503196 PECOS PAC ID: 8527478684 Enrollment ID: I20210311000475 |
| Provider Name | Kristen Thelen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477167468 PECOS PAC ID: 0749695195 Enrollment ID: I20210315002224 |
| Provider Name | Cristina Sullivan Leis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548858749 PECOS PAC ID: 0244648673 Enrollment ID: I20210422002672 |
| Provider Name | Chad Campion |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164818654 PECOS PAC ID: 6305167362 Enrollment ID: I20210712001628 |
| Provider Name | Wesley Owen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043743594 PECOS PAC ID: 2163799198 Enrollment ID: I20210712003020 |
| Provider Name | Matthew Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538695374 PECOS PAC ID: 2264707249 Enrollment ID: I20210729002336 |
| Provider Name | Carson Rider |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427444009 PECOS PAC ID: 1951705755 Enrollment ID: I20210802000276 |
| Provider Name | Lauren Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609395938 PECOS PAC ID: 2961769104 Enrollment ID: I20210811000124 |
| Provider Name | Michella Glenna Douglas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053949586 PECOS PAC ID: 1254739485 Enrollment ID: I20220318000126 |
| Provider Name | Mary Johnstone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639810807 PECOS PAC ID: 8527455484 Enrollment ID: I20220725000459 |
| Provider Name | Brittany Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285909903 PECOS PAC ID: 6103087218 Enrollment ID: I20221012000187 |
| Provider Name | Justin Vanlandingham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194069351 PECOS PAC ID: 5799937454 Enrollment ID: I20221025000181 |
| Provider Name | Cody Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134841943 PECOS PAC ID: 9133597503 Enrollment ID: I20230227000778 |
| Provider Name | Brennan Wheeler Kimberlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427792340 PECOS PAC ID: 4688053952 Enrollment ID: I20230301001593 |
| Provider Name | Keith Jayson Orland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902260508 PECOS PAC ID: 6901199678 Enrollment ID: I20230324000422 |
| Provider Name | Joseph D Lamplot |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154736817 PECOS PAC ID: 7315168283 Enrollment ID: I20230328002583 |
| Provider Name | Marina Lynn Potts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801599253 PECOS PAC ID: 4880059641 Enrollment ID: I20230501000009 |
| Provider Name | Brittany Alys Kellum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619598174 PECOS PAC ID: 5395167449 Enrollment ID: I20230630001756 |
| Provider Name | Emilee Jeanne Gruse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134534282 PECOS PAC ID: 7315275385 Enrollment ID: I20230728000753 |
| Provider Name | Jared Alan Bell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467987545 PECOS PAC ID: 1153670336 Enrollment ID: I20230809003223 |
| Provider Name | Austin Murphy |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1184157125 PECOS PAC ID: 5890072771 Enrollment ID: I20230809004239 |
| Provider Name | Christopher Thomas Holland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215469556 PECOS PAC ID: 4880074830 Enrollment ID: I20230825003230 |
| Provider Name | Joshua Ray Brandon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356902951 PECOS PAC ID: 9537499561 Enrollment ID: I20230825003471 |
| Provider Name | Patrick Mcgregor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962906438 PECOS PAC ID: 0941559686 Enrollment ID: I20230908003670 |
| Provider Name | Jimmie Mancell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972584571 PECOS PAC ID: 6002880911 Enrollment ID: I20231008000037 |
| Provider Name | Derrick Alan Henry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417453234 PECOS PAC ID: 8022364710 Enrollment ID: I20231018003315 |
| Provider Name | Steven Samborski |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1750812707 PECOS PAC ID: 0547512782 Enrollment ID: I20231019000871 |
| Provider Name | Omar Medina |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932633591 PECOS PAC ID: 8325421928 Enrollment ID: I20231211000723 |
| Provider Name | Stephanie Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477086999 PECOS PAC ID: 1557648276 Enrollment ID: I20240117002267 |
| Provider Name | Kristina Marie Quirolgico |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952749228 PECOS PAC ID: 7416212501 Enrollment ID: I20240223003221 |
| Provider Name | Jeremy Kyle Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861255127 PECOS PAC ID: 7315384005 Enrollment ID: I20240318003610 |
| Provider Name | Elizabeth N Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205202504 PECOS PAC ID: 1456669159 Enrollment ID: I20240320003611 |
| Provider Name | Brandon C Habkouk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972025179 PECOS PAC ID: 1153685490 Enrollment ID: I20240322001006 |
| Provider Name | Jacquelyn Mcdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083045553 PECOS PAC ID: 6800183773 Enrollment ID: I20240404004224 |
| Provider Name | Sydney Brooke Kreisman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245097955 PECOS PAC ID: 2163868076 Enrollment ID: I20240508003947 |
| Provider Name | Luke James Rogers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306691910 PECOS PAC ID: 8022459601 Enrollment ID: I20240514001652 |
| Provider Name | Matt C. Wonais |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538628508 PECOS PAC ID: 3375979446 Enrollment ID: I20240717002342 |
| Provider Name | Paul Schroeder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538622667 PECOS PAC ID: 7810397940 Enrollment ID: I20240718001590 |
| Provider Name | Austin Hardaway |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1639667694 PECOS PAC ID: 4082961198 Enrollment ID: I20240826002341 |
| Provider Name | Mariam Elizabeth Mansour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902434095 PECOS PAC ID: 4880133404 Enrollment ID: I20240827004778 |
| Provider Name | Thomas Pigorsh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043062193 PECOS PAC ID: 8628517042 Enrollment ID: I20240909001448 |
| Provider Name | Anna R. Dillon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952033649 PECOS PAC ID: 1153861760 Enrollment ID: I20240910003606 |
| Provider Name | Carolyn Poleski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508546912 PECOS PAC ID: 4082060827 Enrollment ID: I20240920000177 |
| Provider Name | Charlie Brooke Hutson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902661598 PECOS PAC ID: 4789022559 Enrollment ID: I20240926004311 |
| Provider Name | Chandler Coleman Robertson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013435718 PECOS PAC ID: 6507394301 Enrollment ID: I20250107003204 |
| Provider Name | Kylee Elise Deckard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447977202 PECOS PAC ID: 6305371667 Enrollment ID: I20250529001936 |
| Provider Name | Jesse Trent |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992332977 PECOS PAC ID: 9537587530 Enrollment ID: I20250717001412 |
| Provider Name | Timothy Kyle Summers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871121723 PECOS PAC ID: 1456778778 Enrollment ID: I20250812002897 |
| Provider Name | James Houston Dove |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720570807 PECOS PAC ID: 4284989203 Enrollment ID: I20250813003039 |
| Provider Name | Timothy Benage |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760002851 PECOS PAC ID: 1759899255 Enrollment ID: I20250827004220 |
| Provider Name | Colin Ackerman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467981647 PECOS PAC ID: 7214205178 Enrollment ID: I20251016002036 |
| Provider Name | Melissa Diane Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316812217 PECOS PAC ID: 5395239826 Enrollment ID: I20251215001447 |
| Provider Name | Zachary Mosher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053817668 PECOS PAC ID: 8921356445 Enrollment ID: I20260311004244 |
| Provider Name | Ryan Patrick Hammond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780264457 PECOS PAC ID: 9931503117 Enrollment ID: I20260326003295 |
| Provider Name | Christopher Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497629448 PECOS PAC ID: 2668962788 Enrollment ID: I20260330000805 |
| Provider Name | Maria Tucci Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508468745 PECOS PAC ID: 5294140497 Enrollment ID: I20260408000146 |
Biomechaniks Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Village Shops Dr, Germantown, TN 38138 Phone: 901-620-6127 Fax: 901-620-6124 |
Baptist Urgent Care - Germantown Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7860 Wolf River Blvd, Germantown, TN 38138 Phone: 901-390-4300 |
Germantown Back Pain Relief Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2018 Germantown Rd S, Germantown, TN 38138 Phone: 901-754-8880 Fax: 901-754-8883 |
Iris Medical Practice PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7695 Poplar Pike Ste 202, Germantown, TN 38138 Phone: 662-208-6234 Fax: 662-208-6235 |
Germantown Internal Medicine Associates,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7645 Wolf River Cir, Suite 202, Germantown, TN 38138 Phone: 901-348-6487 Fax: 901-791-0338 |
Internal Health and Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2158 Judicial Dr, Germantown, TN 38138 Phone: 901-421-5174 |