| Class 'a' Clinic LLC | |
|
833 W Highway 25 70 Ste D Newport TN 37821-8045 | |
| (423) 720-9111 | |
| (423) 301-5756 |
| Full Name | Class 'a' Clinic LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 833 W Highway 25 70 Ste D, Newport, Tennessee |
| Authorized Official Name and Position | Charlene Crowder Matthews (PRACTITIONER) |
| Authorized Official Contact | 4237209111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Class 'a' Clinic LLC 833 W Highway 25 70 Ste D Newport TN 37821-8045 Ph: (423) 720-9111 | Class 'a' Clinic LLC 833 W Highway 25 70 Ste D Newport TN 37821-8045 Ph: (423) 720-9111 |
| NPI Number | 1073095154 |
|---|---|
| Provider Enumeration Date | 09/05/2018 |
| Last Update Date | 06/06/2025 |
| Certification Date | 06/06/2025 |
| Medicare PECOS PAC ID | 5698108827 |
|---|---|
| Medicare Enrollment ID | O20191202002790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073095154 | NPI | - | NPPES |
| Q038489 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 16835 (Tennessee) | Primary |
| 261Q00000X | Clinic/center | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| Provider Name | Charlene Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447503842 PECOS PAC ID: 9537313630 Enrollment ID: I20130124000411 |
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James R. Williams M.D., PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Heritage Blvd, Newport, TN 37821 Phone: 423-623-0247 |
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