| Centerwell Senior Primary Care Tn Pc | |
|
4901 Nolensville Pike Nashville TN 37211-5411 | |
| (615) 575-3783 | |
| (877) 259-8932 |
| Full Name | Centerwell Senior Primary Care Tn Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4901 Nolensville Pike, Nashville, Tennessee |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care Tn Pc 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care Tn Pc 4901 Nolensville Pike Nashville TN 37211-5411 Ph: (615) 575-3783 |
| NPI Number | 1649900135 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 07/03/2024 |
| Medicare PECOS PAC ID | 6709261712 |
|---|---|
| Medicare Enrollment ID | O20220912002212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649900135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David M Sellers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649293390 PECOS PAC ID: 8820074214 Enrollment ID: I20040626000083 |
| Provider Name | Natasha L Butts Siffrard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326032244 PECOS PAC ID: 4587691993 Enrollment ID: I20050718000635 |
| Provider Name | Donald O Ezuteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053453795 PECOS PAC ID: 0840224739 Enrollment ID: I20050920001242 |
| Provider Name | Ronda M Worsham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396840476 PECOS PAC ID: 9739189291 Enrollment ID: I20070105000397 |
| Provider Name | Frank D Wade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700974516 PECOS PAC ID: 1850486499 Enrollment ID: I20070927000643 |
| Provider Name | Shari N Hollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740407352 PECOS PAC ID: 0446348601 Enrollment ID: I20071121000541 |
| Provider Name | Sabrina T Finney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285716944 PECOS PAC ID: 5193809754 Enrollment ID: I20080221000287 |
| Provider Name | Monica Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063467504 PECOS PAC ID: 8729162516 Enrollment ID: I20080304000197 |
| Provider Name | James W Garner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831269406 PECOS PAC ID: 4688753809 Enrollment ID: I20080429000854 |
| Provider Name | Saritha V Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760647697 PECOS PAC ID: 8123196052 Enrollment ID: I20081006000402 |
| Provider Name | Shawnda E Hollie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235357062 PECOS PAC ID: 0547306789 Enrollment ID: I20091001000520 |
| Provider Name | Taura L Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962645259 PECOS PAC ID: 2567618275 Enrollment ID: I20120813000618 |
| Provider Name | Mwaka A Butungane-sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396098380 PECOS PAC ID: 9931351277 Enrollment ID: I20121212000382 |
| Provider Name | Vallaree N Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326316340 PECOS PAC ID: 5193967933 Enrollment ID: I20130807000940 |
| Provider Name | Disha R. Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982919585 PECOS PAC ID: 3072739234 Enrollment ID: I20140723002155 |
| Provider Name | Thomas E Sulkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588696264 PECOS PAC ID: 0648321935 Enrollment ID: I20150323000728 |
| Provider Name | Ashlie Elaine Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609278993 PECOS PAC ID: 1456669225 Enrollment ID: I20150928001481 |
| Provider Name | Madison Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831687003 PECOS PAC ID: 0345574422 Enrollment ID: I20190624001342 |
| Provider Name | Halle Mylinda Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992303200 PECOS PAC ID: 7315346053 Enrollment ID: I20210528000984 |
| Provider Name | Erica Lache' Savage-jeter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275657694 PECOS PAC ID: 9739234584 Enrollment ID: I20221004002916 |
| Provider Name | Ianna Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437740818 PECOS PAC ID: 2668844317 Enrollment ID: I20230207001821 |
| Provider Name | Maureen Schroettner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326617515 PECOS PAC ID: 2466855176 Enrollment ID: I20230706001857 |
| Provider Name | Bethany Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730542663 PECOS PAC ID: 2466718259 Enrollment ID: I20230710002645 |
| Provider Name | Anitha Mullangi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972722254 PECOS PAC ID: 6800924788 Enrollment ID: I20230811003162 |
| Provider Name | Robert Klaasen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760457329 PECOS PAC ID: 7911052972 Enrollment ID: I20230905001421 |
| Provider Name | Tracy Elam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699957704 PECOS PAC ID: 2062878754 Enrollment ID: I20231129001508 |
| Provider Name | Neyla Nemcek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013489210 PECOS PAC ID: 4688098288 Enrollment ID: I20240923001173 |
Tennessee Vitality Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 White Bridge Pike, Nashville, TN 37205 Phone: 615-953-7406 | |
Mid Tn Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3413 Nolensville Pike, Nashville, TN 37211 Phone: 615-569-4067 | |
Tarria O. Mcneal Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 12th Ave S, Suite 5, Nashville, TN 37203 Phone: 615-291-6700 | |
Mendrix Medical Associates Of Tennessee Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3348 William Bailey Dr, Nashville, TN 37207 Phone: 213-737-3301 | |
H. Douglas Holliday Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4230 Harding Rd, Ste. 530 Heart Institute, Nashville, TN 37205 Phone: 615-297-6006 Fax: 615-298-6778 | |
United Neighborhood Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 12th Ave S, Nashville, TN 37203 Phone: 615-269-3461 Fax: 615-383-1950 | |
Ehg Gi Md, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1a Burton Hills Blvd, Nashville, TN 37215 Phone: 615-263-5579 Fax: 615-565-9543 |