| Community Quick Care Of Lavergne, Pc | |
|
5148a Murfreesboro Rd La Vergne TN 37086-2712 | |
| (615) 213-1203 | |
| (615) 527-0270 |
| Full Name | Community Quick Care Of Lavergne, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5148a Murfreesboro Rd, La Vergne, Tennessee |
| Authorized Official Name and Position | Jerry P. Eledge (CEO) |
| Authorized Official Contact | 6159435072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Quick Care Of Lavergne, Pc Po Box 2684 Brentwood TN 37024-2684 Ph: (615) 943-5072 | Community Quick Care Of Lavergne, Pc 5148a Murfreesboro Rd La Vergne TN 37086-2712 Ph: (615) 213-1203 |
| NPI Number | 1194023366 |
|---|---|
| Provider Enumeration Date | 03/11/2011 |
| Last Update Date | 06/05/2012 |
| Medicare PECOS PAC ID | 2466638705 |
|---|---|
| Medicare Enrollment ID | O20110520000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194023366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 339630 (Tennessee) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | 339630 (Tennessee) | Secondary |
| Provider Name | Sharon Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083680540 PECOS PAC ID: 6103807938 Enrollment ID: I20040527000698 |
| Provider Name | Joan E Lanier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568663540 PECOS PAC ID: 4082633904 Enrollment ID: I20051121000044 |
| Provider Name | Kimberly R Prichard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790847358 PECOS PAC ID: 9931209418 Enrollment ID: I20070712000651 |
| Provider Name | Robin R Swensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912181678 PECOS PAC ID: 8426133265 Enrollment ID: I20080304000703 |
| Provider Name | Leigh A Walling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437399458 PECOS PAC ID: 2961550249 Enrollment ID: I20090423000809 |
| Provider Name | Deborah E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598084170 PECOS PAC ID: 4789866864 Enrollment ID: I20110310000566 |
| Provider Name | John Glen Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285943605 PECOS PAC ID: 3173795325 Enrollment ID: I20111011000692 |
| Provider Name | Leslie J King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518238351 PECOS PAC ID: 6002075777 Enrollment ID: I20120315000677 |
| Provider Name | Wenona E Dotson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154637288 PECOS PAC ID: 9133317019 Enrollment ID: I20121105000029 |
| Provider Name | Ferris Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184929135 PECOS PAC ID: 3577797315 Enrollment ID: I20131009001376 |
| Provider Name | Michael R Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316215809 PECOS PAC ID: 3870723885 Enrollment ID: I20140312001583 |
| Provider Name | Taina Ovchinnikov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396085080 PECOS PAC ID: 7618191826 Enrollment ID: I20140609002516 |
| Provider Name | Charles Dyron Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669864195 PECOS PAC ID: 0345540340 Enrollment ID: I20151124000203 |
| Provider Name | Lisa M Cejka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134531593 PECOS PAC ID: 5092019398 Enrollment ID: I20160208000257 |
| Provider Name | Casey Erin Ingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366786428 PECOS PAC ID: 3870890221 Enrollment ID: I20160330000104 |
| Provider Name | Jamie Thomas Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922162619 PECOS PAC ID: 1557666468 Enrollment ID: I20160606002370 |
| Provider Name | Monica Fioranelli Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285007518 PECOS PAC ID: 0840580544 Enrollment ID: I20160608002585 |
| Provider Name | Miaschia B Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245694835 PECOS PAC ID: 1456647163 Enrollment ID: I20170421001632 |
| Provider Name | Michele M Cayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194269506 PECOS PAC ID: 4587933130 Enrollment ID: I20170713000570 |
| Provider Name | Aminda Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780232280 PECOS PAC ID: 1658708995 Enrollment ID: I20200225003033 |
| Provider Name | Ellen Huffaker Beam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740989599 PECOS PAC ID: 2769842236 Enrollment ID: I20230714003155 |
| Provider Name | Aira Dianne Vinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225629157 PECOS PAC ID: 5294141214 Enrollment ID: I20231103002936 |
| Provider Name | Megan Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245739564 PECOS PAC ID: 7416210240 Enrollment ID: I20231106001813 |
Northfield Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6001 Jackson Square Blvd Ste 100, La Vergne, TN 37086 Phone: 615-793-9900 Fax: 615-939-9990 | |
Rutherford County Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 Jackson Sq, Suite 100 Family Healthcare, La Vergne, TN 37086 Phone: 615-793-9900 Fax: 615-793-9990 | |
Jackson Square Family Healthcare In Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 Jackson Square Blvd Ste 100, La Vergne, TN 37086 Phone: 615-793-9900 Fax: 615-793-9990 |