| Cosby Center | |
|
103 Wilton Springs Road Newport TN 37821 | |
| (423) 487-2222 | |
| (423) 623-7787 |
| Full Name | Cosby Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 Wilton Springs Road, Newport, Tennessee |
| Authorized Official Name and Position | Larry A Stanifer (CEO) |
| Authorized Official Contact | 8655090055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosby Center 103 Wilton Springs Road Newport TN 37821 Ph: (423) 487-2222 | Cosby Center 103 Wilton Springs Road Newport TN 37821 Ph: (423) 487-2222 |
| NPI Number | 1962443697 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 02/02/2010 |
| Medicare PECOS PAC ID | 1456384080 |
|---|---|
| Medicare Enrollment ID | O20050914001081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962443697 | NPI | - | NPPES |
| 0441859 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Lawrence J Mathers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699745976 PECOS PAC ID: 2264423805 Enrollment ID: I20040521000332 |
| Provider Name | Deana R Brotherton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508836842 PECOS PAC ID: 4789653049 Enrollment ID: I20041002000100 |
| Provider Name | Melissa R Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013998038 PECOS PAC ID: 3971522210 Enrollment ID: I20051116000566 |
| Provider Name | Lucinda Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528003886 PECOS PAC ID: 4385679117 Enrollment ID: I20070308000428 |
| Provider Name | Patricia Conner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053431973 PECOS PAC ID: 2961593736 Enrollment ID: I20070808000389 |
| Provider Name | Richard F Connelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043280340 PECOS PAC ID: 4183817018 Enrollment ID: I20101022001015 |
| Provider Name | Rachel A Mathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194796177 PECOS PAC ID: 1153515721 Enrollment ID: I20101028000440 |
| Provider Name | Rachael Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790079614 PECOS PAC ID: 1456529361 Enrollment ID: I20110720000550 |
| Provider Name | Nathan Dewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659528743 PECOS PAC ID: 6305023110 Enrollment ID: I20120822000177 |
| Provider Name | Megan Faye Dewitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144485350 PECOS PAC ID: 4486831419 Enrollment ID: I20120822000269 |
| Provider Name | Kristi D Bradshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861833436 PECOS PAC ID: 4183867757 Enrollment ID: I20130829000341 |
| Provider Name | Jessica Amanda Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023440195 PECOS PAC ID: 9436393824 Enrollment ID: I20130925000741 |
| Provider Name | Chance Linkous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285034298 PECOS PAC ID: 5890917033 Enrollment ID: I20141104000793 |
| Provider Name | Kristi Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811393374 PECOS PAC ID: 3072832831 Enrollment ID: I20150429002530 |
| Provider Name | Maureen Carroll Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871954420 PECOS PAC ID: 4385942390 Enrollment ID: I20160407000595 |
| Provider Name | Emily Hensley Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134605124 PECOS PAC ID: 9830441492 Enrollment ID: I20181009002169 |
| Provider Name | Brittany D Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649750811 PECOS PAC ID: 0345587218 Enrollment ID: I20190130002551 |
| Provider Name | Brandi Michelle Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053895474 PECOS PAC ID: 8628316262 Enrollment ID: I20190206002911 |
| Provider Name | Amy L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114557550 PECOS PAC ID: 9739588070 Enrollment ID: I20210519000376 |
| Provider Name | Callie Rose Pittard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891287744 PECOS PAC ID: 6305192519 Enrollment ID: I20220201001198 |
| Provider Name | Ashley Diane Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326496944 PECOS PAC ID: 5991175697 Enrollment ID: I20221221000123 |
| Provider Name | Janey Chon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1114534617 PECOS PAC ID: 5395105191 Enrollment ID: I20230712000718 |
| Provider Name | Lourdes R Borges Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104885391 PECOS PAC ID: 6901861632 Enrollment ID: I20230816004118 |
| Provider Name | Sharmian Wyrick Mccoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295938108 PECOS PAC ID: 9931550076 Enrollment ID: I20240112002001 |
| Provider Name | Jennifer Galyon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851063770 PECOS PAC ID: 4688017809 Enrollment ID: I20240205002995 |
| Provider Name | Kathryn Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538329248 PECOS PAC ID: 3072838424 Enrollment ID: I20240212000768 |
Healthstar Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 4th St, Newport, TN 37821 Phone: 423-623-6240 Fax: 423-623-0102 | |
Primary Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 434 4th St, Suite 310, Newport, TN 37821 Phone: 423-623-0640 Fax: 423-623-7615 | |
Benchmark Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Newport Towne Ctr, Newport, TN 37821 Phone: 423-623-2890 Fax: 423-623-2924 | |
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 | |
The Family Practice Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 4th St, Newport, TN 37821 Phone: 423-623-6240 Fax: 423-623-0102 | |
Class 'a' Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 157 Highway 25 E, Newport, TN 37821 Phone: 423-720-9111 Fax: 423-301-5756 | |
Tennova Newport-4th Street Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 434 4th St Ste 305, Newport, TN 37821 Phone: 423-613-6381 Fax: 423-613-6382 |