| Covenant Medical Group, Inc. | |
|
1400 Centerpoint Blvd Bldg A, Suite 202 Knoxville TN 37932-2146 | |
| (865) 374-5200 | |
| (865) 374-5201 |
| Full Name | Covenant Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Centerpoint Blvd, Knoxville, Tennessee |
| Authorized Official Name and Position | Julie G Utterback (VP FINANCIAL SERVICES) |
| Authorized Official Contact | 8653745119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Medical Group, Inc. 1400 Centerpoint Blvd Bldg A, Suite 202 Knoxville TN 37932-2146 Ph: (865) 374-5200 | Covenant Medical Group, Inc. 1400 Centerpoint Blvd Bldg A, Suite 202 Knoxville TN 37932-2146 Ph: (865) 374-5200 |
| NPI Number | 1457302010 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 12/21/2016 |
| Medicare PECOS PAC ID | 2860305463 |
|---|---|
| Medicare Enrollment ID | O20060719000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457302010 | NPI | - | NPPES |
| 3734041 | Medicaid | TN |
| Provider Name | Donald G Wheatley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417920240 PECOS PAC ID: 2163324658 Enrollment ID: I20040124000066 |
| Provider Name | Roger A Riedel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356331805 PECOS PAC ID: 0345143947 Enrollment ID: I20040130000509 |
| Provider Name | Charissa Baskette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760473649 PECOS PAC ID: 8628971165 Enrollment ID: I20040130000782 |
| Provider Name | James B Schindler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336141571 PECOS PAC ID: 3678467396 Enrollment ID: I20040212000111 |
| Provider Name | Mitchell H Weiss |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316902687 PECOS PAC ID: 2860380946 Enrollment ID: I20040309001287 |
| Provider Name | Albert R Blacky |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699762252 PECOS PAC ID: 6507756020 Enrollment ID: I20040318000527 |
| Provider Name | Vincent P Mccarthy |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1699831149 PECOS PAC ID: 2567362122 Enrollment ID: I20040325001545 |
| Provider Name | Barrington N Nash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811960834 PECOS PAC ID: 2668465774 Enrollment ID: I20040405001740 |
| Provider Name | Matthew D Bridges |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073675492 PECOS PAC ID: 4284629973 Enrollment ID: I20040420001216 |
| Provider Name | Janet C Binkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407893852 PECOS PAC ID: 7618963026 Enrollment ID: I20040421001743 |
| Provider Name | Jeffrey Scott Boruff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922057223 PECOS PAC ID: 7618963786 Enrollment ID: I20040426000156 |
| Provider Name | Timothy Darrell Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477527901 PECOS PAC ID: 0345238457 Enrollment ID: I20040505001143 |
| Provider Name | Ellen F Liuzza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437158920 PECOS PAC ID: 4587654272 Enrollment ID: I20040514000646 |
| Provider Name | Michelle Elaine Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497784961 PECOS PAC ID: 7113908385 Enrollment ID: I20040525001271 |
| Provider Name | Stephen L Marietta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053301606 PECOS PAC ID: 2668454133 Enrollment ID: I20040607001223 |
| Provider Name | Linda S Gourley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508860917 PECOS PAC ID: 0244131860 Enrollment ID: I20040709000468 |
| Provider Name | Daniel Drinnen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184660482 PECOS PAC ID: 4789662933 Enrollment ID: I20040716000702 |
| Provider Name | Jeffrey A Nix |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699717223 PECOS PAC ID: 7416935663 Enrollment ID: I20040716000738 |
| Provider Name | Tom C Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992741292 PECOS PAC ID: 2961480116 Enrollment ID: I20040716000777 |
| Provider Name | Lawrence D Hookman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487644019 PECOS PAC ID: 8022080159 Enrollment ID: I20040810000503 |
| Provider Name | Brent S Neal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306849740 PECOS PAC ID: 8628040599 Enrollment ID: I20040811000209 |
| Provider Name | James S Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023061397 PECOS PAC ID: 6608849559 Enrollment ID: I20040818000485 |
| Provider Name | Kendra A Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588690697 PECOS PAC ID: 2365417235 Enrollment ID: I20040902000115 |
| Provider Name | Stephanie S Becker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548208325 PECOS PAC ID: 1658349675 Enrollment ID: I20040917000864 |
| Provider Name | David P Crawford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326075540 PECOS PAC ID: 9739157009 Enrollment ID: I20040923000902 |
| Provider Name | Deana R Brotherton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508836842 PECOS PAC ID: 4789653049 Enrollment ID: I20041002000100 |
| Provider Name | Moez R Premji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295794089 PECOS PAC ID: 3678532199 Enrollment ID: I20041008000715 |
| Provider Name | Stacey A Kesterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073594263 PECOS PAC ID: 0345200481 Enrollment ID: I20041013001136 |
| Provider Name | Sergio Loaiza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306828314 PECOS PAC ID: 2264496942 Enrollment ID: I20041112000533 |
| Provider Name | Sherril M Boozer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851331540 PECOS PAC ID: 5193775633 Enrollment ID: I20050124000270 |
| Provider Name | Debra A Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477589646 PECOS PAC ID: 7315991205 Enrollment ID: I20050303000270 |
| Provider Name | Edward T Mcneeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932197845 PECOS PAC ID: 8123072592 Enrollment ID: I20050309000068 |
| Provider Name | Carol Crye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538101209 PECOS PAC ID: 8325092711 Enrollment ID: I20050309000195 |
| Provider Name | Farrukh A Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427022052 PECOS PAC ID: 9830146935 Enrollment ID: I20050331000951 |
| Provider Name | Jon A Simpson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295815850 PECOS PAC ID: 7810944501 Enrollment ID: I20050408001128 |
| Provider Name | Connie Mclaughlin Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720137243 PECOS PAC ID: 1658310172 Enrollment ID: I20050425001105 |
| Provider Name | Edward B Tieng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184624140 PECOS PAC ID: 9537109327 Enrollment ID: I20050511000589 |
| Provider Name | Ricky R Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992865752 PECOS PAC ID: 9335183425 Enrollment ID: I20050620000657 |
| Provider Name | Frank S Ellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275531980 PECOS PAC ID: 9335184092 Enrollment ID: I20050622001397 |
| Provider Name | Tamara F Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528066719 PECOS PAC ID: 2163467762 Enrollment ID: I20050623000925 |
| Provider Name | David R Navorska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457329385 PECOS PAC ID: 4385680818 Enrollment ID: I20050706000436 |
| Provider Name | David A Vastine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154429033 PECOS PAC ID: 0143256057 Enrollment ID: I20050712001045 |
| Provider Name | James D Jordan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619965423 PECOS PAC ID: 7012946056 Enrollment ID: I20050810000068 |
| Provider Name | Carrie L Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174619209 PECOS PAC ID: 8729018254 Enrollment ID: I20050815000970 |
| Provider Name | Mark K Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528079969 PECOS PAC ID: 1759311749 Enrollment ID: I20050818001105 |
| Provider Name | Joseph D Damewood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346286218 PECOS PAC ID: 1850321613 Enrollment ID: I20050822000364 |
| Provider Name | Thea Cross |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093788044 PECOS PAC ID: 3577597160 Enrollment ID: I20050922001026 |
| Provider Name | Michael T Fuerst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609866037 PECOS PAC ID: 2466472568 Enrollment ID: I20051205000503 |
| Provider Name | Pamela W Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972584951 PECOS PAC ID: 3476574948 Enrollment ID: I20051212000782 |
| Provider Name | Bipinchandra M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881655066 PECOS PAC ID: 3971527441 Enrollment ID: I20060126000521 |
| Provider Name | Mohammad R Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700847985 PECOS PAC ID: 9436173903 Enrollment ID: I20060126000531 |
| Provider Name | Saeed Etezadi-amoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669427142 PECOS PAC ID: 5698784551 Enrollment ID: I20060420000533 |
| Provider Name | Robert G Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881649028 PECOS PAC ID: 2961411830 Enrollment ID: I20060420000550 |
| Provider Name | Jeffrey A Swilley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114972650 PECOS PAC ID: 7618986720 Enrollment ID: I20060420000571 |
| Provider Name | Douglas J Marlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659360295 PECOS PAC ID: 9335111780 Enrollment ID: I20060420000598 |
| Provider Name | Sunil M John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912952177 PECOS PAC ID: 8628087590 Enrollment ID: I20060420000609 |
| Provider Name | James S Alley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295780369 PECOS PAC ID: 0345259214 Enrollment ID: I20060420000617 |
| Provider Name | Elmer Rickey Gibbs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841293891 PECOS PAC ID: 2062469430 Enrollment ID: I20060425000743 |
| Provider Name | Joshua A Miller |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790734242 PECOS PAC ID: 9436161106 Enrollment ID: I20060620000210 |
| Provider Name | Larry T Justice |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790721819 PECOS PAC ID: 5991717605 Enrollment ID: I20060621000210 |
| Provider Name | Christian L Traynelis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720069867 PECOS PAC ID: 1052324951 Enrollment ID: I20060719000050 |
| Provider Name | George B Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881699924 PECOS PAC ID: 8921011842 Enrollment ID: I20060719000153 |
| Provider Name | John C Belitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578524740 PECOS PAC ID: 9638182322 Enrollment ID: I20060725000227 |
| Provider Name | Miriam B Tedder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609863422 PECOS PAC ID: 4486653797 Enrollment ID: I20061214000484 |
| Provider Name | William D Patterson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427059211 PECOS PAC ID: 9335140136 Enrollment ID: I20070122000501 |
| Provider Name | Julianne G Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235110487 PECOS PAC ID: 0345262739 Enrollment ID: I20070124000228 |
| Provider Name | James D Garmany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295826048 PECOS PAC ID: 9638171689 Enrollment ID: I20070205000587 |
| Provider Name | Joey Edward M Roque |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396847448 PECOS PAC ID: 1759287592 Enrollment ID: I20070216000357 |
| Provider Name | Jessica C Shamblin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265530620 PECOS PAC ID: 1951403120 Enrollment ID: I20070220000137 |
| Provider Name | Farzana S Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215968193 PECOS PAC ID: 0143323410 Enrollment ID: I20070307000550 |
| Provider Name | Sivalingam Kanagasegar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982666012 PECOS PAC ID: 4981707783 Enrollment ID: I20070315000481 |
| Provider Name | Nareshbhai R Mistry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699763250 PECOS PAC ID: 1557466711 Enrollment ID: I20070417000208 |
| Provider Name | Paul C Peterson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891780862 PECOS PAC ID: 0749387561 Enrollment ID: I20070511000587 |
| Provider Name | Malik Ibrahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588617187 PECOS PAC ID: 9133161573 Enrollment ID: I20070517000063 |
| Provider Name | Samer A El-chemeitelli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780765461 PECOS PAC ID: 2567560634 Enrollment ID: I20070613000504 |
| Provider Name | Milan Jyotindra Sheth |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619198306 PECOS PAC ID: 9436258654 Enrollment ID: I20070628000147 |
| Provider Name | Amy Tourville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396879383 PECOS PAC ID: 1254423817 Enrollment ID: I20070828000050 |
| Provider Name | Ann D Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417946674 PECOS PAC ID: 4284728056 Enrollment ID: I20070924000753 |
| Provider Name | Stephanie A Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659567568 PECOS PAC ID: 4688760481 Enrollment ID: I20071009000815 |
| Provider Name | Celeste H Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750407870 PECOS PAC ID: 9133215544 Enrollment ID: I20071017000249 |
| Provider Name | Izzuddin A Mansur |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508828344 PECOS PAC ID: 3375630890 Enrollment ID: I20071031000345 |
| Provider Name | Jeffrey S King |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710976428 PECOS PAC ID: 0749379121 Enrollment ID: I20071207000822 |
| Provider Name | Gwendolyn D Crenshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972654374 PECOS PAC ID: 5496844888 Enrollment ID: I20071207000867 |
| Provider Name | David R Robins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093882250 PECOS PAC ID: 8123056272 Enrollment ID: I20071210000633 |
| Provider Name | Wendy D Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407879299 PECOS PAC ID: 4688754708 Enrollment ID: I20080102000336 |
| Provider Name | Robbie R Leinart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770617011 PECOS PAC ID: 5890878565 Enrollment ID: I20080219000353 |
| Provider Name | Rebecca D Clem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285855981 PECOS PAC ID: 1153405246 Enrollment ID: I20080228000080 |
| Provider Name | Caleb T Warren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801861786 PECOS PAC ID: 9537244041 Enrollment ID: I20080307000508 |
| Provider Name | Steven Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508805797 PECOS PAC ID: 3971689258 Enrollment ID: I20080326001022 |
| Provider Name | Alice G Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750550794 PECOS PAC ID: 6204915986 Enrollment ID: I20080506000693 |
| Provider Name | James P Howell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831372390 PECOS PAC ID: 0042382863 Enrollment ID: I20080710000319 |
| Provider Name | Mohammed A Bhatti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629159512 PECOS PAC ID: 7315009917 Enrollment ID: I20081216000240 |
| Provider Name | James Hora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447224621 PECOS PAC ID: 2769589621 Enrollment ID: I20090205000573 |
| Provider Name | Cheryl L Deets |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053401893 PECOS PAC ID: 5092777466 Enrollment ID: I20090303000634 |
| Provider Name | Ayaz M Rahman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881871374 PECOS PAC ID: 3779640826 Enrollment ID: I20090317000626 |
| Provider Name | Joye W Sexton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588807945 PECOS PAC ID: 4688722333 Enrollment ID: I20090506000439 |
| Provider Name | Brent A Grishkin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003809617 PECOS PAC ID: 7911057211 Enrollment ID: I20090608000532 |
| Provider Name | Pamela A Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386888345 PECOS PAC ID: 0345390563 Enrollment ID: I20090610000286 |
| Provider Name | Timothy K Braden |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932381563 PECOS PAC ID: 7810047842 Enrollment ID: I20090611000735 |
| Provider Name | Jennifer L Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225170160 PECOS PAC ID: 3577615137 Enrollment ID: I20090714000178 |
| Provider Name | Dennis L Rainwater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316974678 PECOS PAC ID: 1456386366 Enrollment ID: I20090717000263 |
| Provider Name | Greg K Hoover |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255329702 PECOS PAC ID: 2264340546 Enrollment ID: I20090721000530 |
| Provider Name | Jeffrey S Gilbert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801067624 PECOS PAC ID: 3375605215 Enrollment ID: I20090807000697 |
| Provider Name | Kelly A Caldwell Chor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073691507 PECOS PAC ID: 9537153507 Enrollment ID: I20090812000859 |
| Provider Name | Devin S Edwards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578753521 PECOS PAC ID: 7315083979 Enrollment ID: I20091013000170 |
| Provider Name | Patricia M Huddleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003048810 PECOS PAC ID: 6002953361 Enrollment ID: I20091020000295 |
| Provider Name | Mark A Fox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073526596 PECOS PAC ID: 7113013715 Enrollment ID: I20091201000002 |
| Provider Name | Robert E Nichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154332591 PECOS PAC ID: 3577659176 Enrollment ID: I20091201000004 |
| Provider Name | Douglas R Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093818635 PECOS PAC ID: 0749379493 Enrollment ID: I20091201000005 |
| Provider Name | Gary N Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982615340 PECOS PAC ID: 8628117876 Enrollment ID: I20091201000006 |
| Provider Name | John B Sherrill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790893543 PECOS PAC ID: 4284723875 Enrollment ID: I20091201000008 |
| Provider Name | Elizabeth Petty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477661361 PECOS PAC ID: 9032016167 Enrollment ID: I20091201000009 |
| Provider Name | Timothy M Spitler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982712733 PECOS PAC ID: 6002905692 Enrollment ID: I20091214000023 |
| Provider Name | William B Bingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568451128 PECOS PAC ID: 8426198359 Enrollment ID: I20091228000097 |
| Provider Name | Vianney Villaruz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598778011 PECOS PAC ID: 7911096508 Enrollment ID: I20091229000043 |
| Provider Name | John T Daugherty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306834122 PECOS PAC ID: 6305987710 Enrollment ID: I20100107000440 |
| Provider Name | Elizabeth M Harrel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528055373 PECOS PAC ID: 2163563404 Enrollment ID: I20100108000010 |
| Provider Name | Jose J Malagon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013990654 PECOS PAC ID: 7517008857 Enrollment ID: I20100108000016 |
| Provider Name | Wahid John Abadier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144391657 PECOS PAC ID: 8426064635 Enrollment ID: I20100112000470 |
| Provider Name | Henry C Hooker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700963857 PECOS PAC ID: 7911060918 Enrollment ID: I20100128000710 |
| Provider Name | David C Jerden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255376513 PECOS PAC ID: 1658459656 Enrollment ID: I20100222000648 |
| Provider Name | William Clifford Cole |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902842768 PECOS PAC ID: 3375621428 Enrollment ID: I20100225000333 |
| Provider Name | Jeff E Flickinger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497755458 PECOS PAC ID: 1850480872 Enrollment ID: I20100325000050 |
| Provider Name | Pamela F Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790010643 PECOS PAC ID: 0345379905 Enrollment ID: I20100520000586 |
| Provider Name | Elzbieta E Gornisiewicz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740277565 PECOS PAC ID: 9537298518 Enrollment ID: I20100601000482 |
| Provider Name | Jeffrey A Mcmichael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548213895 PECOS PAC ID: 3779613005 Enrollment ID: I20100614000484 |
| Provider Name | Terrence Meece |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477542033 PECOS PAC ID: 4880724947 Enrollment ID: I20100616000412 |
| Provider Name | Charles L Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245283571 PECOS PAC ID: 9830220649 Enrollment ID: I20100623000088 |
| Provider Name | Jack H Tarr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497708739 PECOS PAC ID: 1355427444 Enrollment ID: I20100708000505 |
| Provider Name | Ronald E Murff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053362939 PECOS PAC ID: 7911038971 Enrollment ID: I20100708000565 |
| Provider Name | Shanle G Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184850257 PECOS PAC ID: 5193858157 Enrollment ID: I20100728000844 |
| Provider Name | William Stuart Dallas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326024308 PECOS PAC ID: 5496804189 Enrollment ID: I20100803000739 |
| Provider Name | Howard B Mcneeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588651327 PECOS PAC ID: 2567537269 Enrollment ID: I20100823000688 |
| Provider Name | Tina E Doty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134443922 PECOS PAC ID: 3971627233 Enrollment ID: I20100824000783 |
| Provider Name | Rodney Moore Mcmillin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013901289 PECOS PAC ID: 0446375810 Enrollment ID: I20100909000502 |
| Provider Name | Randy Lee Denton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851385108 PECOS PAC ID: 4082739362 Enrollment ID: I20100909000643 |
| Provider Name | Robert Joseph Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982698155 PECOS PAC ID: 2163481268 Enrollment ID: I20100909000916 |
| Provider Name | Max W Lawson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346292729 PECOS PAC ID: 7315062437 Enrollment ID: I20100914001083 |
| Provider Name | Lawrence Maccree |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376527499 PECOS PAC ID: 7113968801 Enrollment ID: I20100916000128 |
| Provider Name | John-paul Lamar Newport |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891940904 PECOS PAC ID: 1759406341 Enrollment ID: I20100920000920 |
| Provider Name | Lia C Boyanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962447235 PECOS PAC ID: 0244247583 Enrollment ID: I20100928001296 |
| Provider Name | Rachel Marie Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003139502 PECOS PAC ID: 3779775523 Enrollment ID: I20101012000412 |
| Provider Name | Sandra Mae Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659333508 PECOS PAC ID: 9537352521 Enrollment ID: I20101022000504 |
| Provider Name | Tamara J Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104971308 PECOS PAC ID: 8628034188 Enrollment ID: I20101028000791 |
| Provider Name | Steven F Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477521029 PECOS PAC ID: 3678522547 Enrollment ID: I20101203000101 |
| Provider Name | Michael Prentice Bernard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386633949 PECOS PAC ID: 6608848056 Enrollment ID: I20101206000943 |
| Provider Name | Rebekah L Swink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801080171 PECOS PAC ID: 9133316516 Enrollment ID: I20101210000673 |
| Provider Name | John S Adams |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578542338 PECOS PAC ID: 9032267596 Enrollment ID: I20101222000102 |
| Provider Name | Ernest Brian Kemp |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790764637 PECOS PAC ID: 2769530229 Enrollment ID: I20101227000540 |
| Provider Name | Carla E Spurgeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700186251 PECOS PAC ID: 6406045517 Enrollment ID: I20110105000533 |
| Provider Name | Karen R Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447433750 PECOS PAC ID: 5092894162 Enrollment ID: I20110105000850 |
| Provider Name | Ronald K Wray |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184617649 PECOS PAC ID: 6406045996 Enrollment ID: I20110114000232 |
| Provider Name | Christine D Ladd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790088482 PECOS PAC ID: 0941480313 Enrollment ID: I20110202000753 |
| Provider Name | Dean Raymond Conley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306826201 PECOS PAC ID: 5395825806 Enrollment ID: I20110204000044 |
| Provider Name | Karen Thrasher Rader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790733277 PECOS PAC ID: 4981690054 Enrollment ID: I20110207000402 |
| Provider Name | Kristel F Gibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508171505 PECOS PAC ID: 8527248525 Enrollment ID: I20110208000968 |
| Provider Name | Susan R Goble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811212962 PECOS PAC ID: 1759562879 Enrollment ID: I20110223000314 |
| Provider Name | Paul Tidmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457671380 PECOS PAC ID: 9537342183 Enrollment ID: I20110321000329 |
| Provider Name | Marianne Kim Solomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669420972 PECOS PAC ID: 5991988305 Enrollment ID: I20110323000093 |
| Provider Name | Cheri P Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710202239 PECOS PAC ID: 1456481894 Enrollment ID: I20110426000286 |
| Provider Name | Nicholas Peter Xenopoulos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568548006 PECOS PAC ID: 4981594546 Enrollment ID: I20110520000323 |
| Provider Name | Joel E Norman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083877336 PECOS PAC ID: 5698943983 Enrollment ID: I20110712000119 |
| Provider Name | Jessica H Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437457918 PECOS PAC ID: 4385813427 Enrollment ID: I20110808000294 |
| Provider Name | Carrie F Freire-bozeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659669497 PECOS PAC ID: 9537338470 Enrollment ID: I20110809000716 |
| Provider Name | Deborah Upchurch Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306139365 PECOS PAC ID: 9638348295 Enrollment ID: I20110816000618 |
| Provider Name | Giorgi Sirbiladze |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407037112 PECOS PAC ID: 4587834445 Enrollment ID: I20110901000105 |
| Provider Name | Elias Abou-zeid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659572873 PECOS PAC ID: 7618148941 Enrollment ID: I20110919000348 |
| Provider Name | Tammy Lynn Ashburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275828592 PECOS PAC ID: 7214109925 Enrollment ID: I20110930000236 |
| Provider Name | Tricia Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285639369 PECOS PAC ID: 7911179031 Enrollment ID: I20111017000048 |
| Provider Name | Tina D Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942287743 PECOS PAC ID: 3779761218 Enrollment ID: I20111110000398 |
| Provider Name | Terry M Bingham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336107119 PECOS PAC ID: 7517926611 Enrollment ID: I20111227000089 |
| Provider Name | Yvette E Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689645814 PECOS PAC ID: 0042479032 Enrollment ID: I20120312000183 |
| Provider Name | Henry L Gupton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861476152 PECOS PAC ID: 2062672967 Enrollment ID: I20120330000344 |
| Provider Name | Frederick James Barry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770549271 PECOS PAC ID: 3476627373 Enrollment ID: I20120417000324 |
| Provider Name | Amber Atchley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326312273 PECOS PAC ID: 8527221910 Enrollment ID: I20120522001293 |
| Provider Name | Rakesh Kumar Vohra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457362659 PECOS PAC ID: 4880697465 Enrollment ID: I20120606000635 |
| Provider Name | Vijoydeep Tanjorev Rao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790886109 PECOS PAC ID: 0244207116 Enrollment ID: I20120619000141 |
| Provider Name | Brittany D Pafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194099440 PECOS PAC ID: 9436313673 Enrollment ID: I20120619000474 |
| Provider Name | Naseen Saadia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346512464 PECOS PAC ID: 5799931002 Enrollment ID: I20120801000771 |
| Provider Name | Laura A Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013272962 PECOS PAC ID: 2466608245 Enrollment ID: I20120809000809 |
| Provider Name | Andrew T Szaflarski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366695363 PECOS PAC ID: 5890941447 Enrollment ID: I20120821000912 |
| Provider Name | Muhammad Mir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538460951 PECOS PAC ID: 8426200767 Enrollment ID: I20121212000354 |
| Provider Name | Amy R Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659613156 PECOS PAC ID: 6305083130 Enrollment ID: I20130514000654 |
| Provider Name | Mikki D Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407299472 PECOS PAC ID: 3678710357 Enrollment ID: I20130517000011 |
| Provider Name | Rachel A Savoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396088399 PECOS PAC ID: 1456599067 Enrollment ID: I20130521000125 |
| Provider Name | Nicole Paulson Shields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992979454 PECOS PAC ID: 2062680499 Enrollment ID: I20130711000658 |
| Provider Name | Ravi Kiran Ghanta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871799973 PECOS PAC ID: 9537229513 Enrollment ID: I20130717000263 |
| Provider Name | Christopher Michael Kulisek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902093537 PECOS PAC ID: 2567617194 Enrollment ID: I20130729000879 |
| Provider Name | Rickey A Cosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730526864 PECOS PAC ID: 1456592450 Enrollment ID: I20130801000802 |
| Provider Name | Ashley Wise Luttrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124467832 PECOS PAC ID: 1254573215 Enrollment ID: I20130805000489 |
| Provider Name | Brian Pugh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780840926 PECOS PAC ID: 3971745936 Enrollment ID: I20130805000501 |
| Provider Name | Joanna G Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013353176 PECOS PAC ID: 1658514500 Enrollment ID: I20130826000560 |
| Provider Name | Steedman Ackah Sarbah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962428326 PECOS PAC ID: 2567630742 Enrollment ID: I20130828000160 |
| Provider Name | Thomas D Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609218569 PECOS PAC ID: 5890938260 Enrollment ID: I20130904000443 |
| Provider Name | Elizabeth A Cumberland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013359108 PECOS PAC ID: 0345484713 Enrollment ID: I20130925000454 |
| Provider Name | Pamela Jernigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598986184 PECOS PAC ID: 9638313950 Enrollment ID: I20130926000110 |
| Provider Name | Catherine C Sarbah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821002429 PECOS PAC ID: 8527292846 Enrollment ID: I20130927000536 |
| Provider Name | Amy Nanette Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881038461 PECOS PAC ID: 6204060916 Enrollment ID: I20131017001728 |
| Provider Name | Michael C Tedder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629403738 PECOS PAC ID: 1153556519 Enrollment ID: I20131021001738 |
| Provider Name | Laura L Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780025874 PECOS PAC ID: 8224263546 Enrollment ID: I20131022001947 |
| Provider Name | Saadi Ahmad Siddiqi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396944575 PECOS PAC ID: 7315027968 Enrollment ID: I20131114000508 |
| Provider Name | Jeffrey Alan Glasgow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821112053 PECOS PAC ID: 8426285545 Enrollment ID: I20131217001799 |
| Provider Name | Dana Michelle Sweitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104259324 PECOS PAC ID: 0840424693 Enrollment ID: I20140311000424 |
| Provider Name | Carlos Antonio Montes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699933846 PECOS PAC ID: 9234305087 Enrollment ID: I20140402000469 |
| Provider Name | Caroline Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710129895 PECOS PAC ID: 5799917241 Enrollment ID: I20140415001521 |
| Provider Name | Julie L Livesay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851717367 PECOS PAC ID: 6507099009 Enrollment ID: I20140508000472 |
| Provider Name | Kartheek Ganta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235371204 PECOS PAC ID: 4183861040 Enrollment ID: I20140619002022 |
| Provider Name | Elizabeth T Azel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396794392 PECOS PAC ID: 6406806637 Enrollment ID: I20140624001092 |
| Provider Name | John M Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336432798 PECOS PAC ID: 8729224431 Enrollment ID: I20140626000385 |
| Provider Name | Philip A Serbin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336153311 PECOS PAC ID: 4082702493 Enrollment ID: I20140717001309 |
| Provider Name | Samuel R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184038812 PECOS PAC ID: 6103051966 Enrollment ID: I20140820002327 |
| Provider Name | Erin Elizabeth Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710305792 PECOS PAC ID: 1355566837 Enrollment ID: I20140821002587 |
| Provider Name | Sherryl Kathryn Croitor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417190729 PECOS PAC ID: 3072783661 Enrollment ID: I20140822001520 |
| Provider Name | Samuel A Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467684621 PECOS PAC ID: 1850415985 Enrollment ID: I20140825000197 |
| Provider Name | Holly Maxwell Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316096837 PECOS PAC ID: 8123259074 Enrollment ID: I20140919002246 |
| Provider Name | Brandon D Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205240413 PECOS PAC ID: 0749409845 Enrollment ID: I20140923001594 |
| Provider Name | Toral B Pattni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144202243 PECOS PAC ID: 0941335798 Enrollment ID: I20141006001766 |
| Provider Name | Misty Mccray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871909507 PECOS PAC ID: 1850511098 Enrollment ID: I20141009002465 |
| Provider Name | Heather N Bradner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336557917 PECOS PAC ID: 2365663143 Enrollment ID: I20141020001593 |
| Provider Name | Alison A Hawxhurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275941908 PECOS PAC ID: 2668693078 Enrollment ID: I20141029000863 |
| Provider Name | Krystle Brooke Foshie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437552577 PECOS PAC ID: 4587885827 Enrollment ID: I20141029002630 |
| Provider Name | Robbie R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144625450 PECOS PAC ID: 8729300272 Enrollment ID: I20141211001197 |
| Provider Name | Jennifer Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770632283 PECOS PAC ID: 2567787716 Enrollment ID: I20150210000490 |
| Provider Name | Dina M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942604269 PECOS PAC ID: 3375869449 Enrollment ID: I20150309000221 |
| Provider Name | Sherrie Corgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295133676 PECOS PAC ID: 5193042554 Enrollment ID: I20150323002505 |
| Provider Name | Kindra D Romer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699162248 PECOS PAC ID: 8527389519 Enrollment ID: I20150602002512 |
| Provider Name | Kelly Borden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316361264 PECOS PAC ID: 4789995291 Enrollment ID: I20150624000866 |
| Provider Name | Thomas Wannenburg |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346225380 PECOS PAC ID: 6608904420 Enrollment ID: I20150624002410 |
| Provider Name | Brian D Kwitkin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386811941 PECOS PAC ID: 1456571546 Enrollment ID: I20150728003763 |
| Provider Name | Katina Wier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285015446 PECOS PAC ID: 4385958750 Enrollment ID: I20150729007883 |
| Provider Name | Stephen T Rachael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750510798 PECOS PAC ID: 2062726839 Enrollment ID: I20150806012787 |
| Provider Name | Sandra H Mincey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326428087 PECOS PAC ID: 6305151291 Enrollment ID: I20150821012968 |
| Provider Name | Lorrie Suzanne Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073890422 PECOS PAC ID: 5395912026 Enrollment ID: I20150919000085 |
| Provider Name | Sasha Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356607337 PECOS PAC ID: 9931417268 Enrollment ID: I20151006001014 |
| Provider Name | Kristen M Wolfenbarger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780901595 PECOS PAC ID: 6305154402 Enrollment ID: I20151008001894 |
| Provider Name | Jeffrey Albea |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548259906 PECOS PAC ID: 6406890375 Enrollment ID: I20151012002460 |
| Provider Name | Andrew D Goins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003174350 PECOS PAC ID: 7113163825 Enrollment ID: I20151022000399 |
| Provider Name | Jadeleize Gormley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134591894 PECOS PAC ID: 2163732744 Enrollment ID: I20151111000959 |
| Provider Name | Joy Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275903585 PECOS PAC ID: 3375853849 Enrollment ID: I20151112002320 |
| Provider Name | Joseph C Petit |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285865667 PECOS PAC ID: 0941510457 Enrollment ID: I20151113000514 |
| Provider Name | Elizabeth G Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487025185 PECOS PAC ID: 6305146572 Enrollment ID: I20151120000868 |
| Provider Name | Cathy Denise Abston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992172779 PECOS PAC ID: 0840590790 Enrollment ID: I20151124002674 |
| Provider Name | Robert Malka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174785513 PECOS PAC ID: 7416118658 Enrollment ID: I20151203001964 |
| Provider Name | Amir Ahmed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205824810 PECOS PAC ID: 0244210151 Enrollment ID: I20151211001417 |
| Provider Name | Bassem Abazid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689835944 PECOS PAC ID: 0749451292 Enrollment ID: I20151211001838 |
| Provider Name | Renee Bailey Quillin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194988436 PECOS PAC ID: 1456516764 Enrollment ID: I20151222001806 |
| Provider Name | Ashley Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275905945 PECOS PAC ID: 3173828191 Enrollment ID: I20160229001213 |
| Provider Name | Mary B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891154092 PECOS PAC ID: 7012213960 Enrollment ID: I20160302002837 |
| Provider Name | Amandi N Proffitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932568797 PECOS PAC ID: 3173822921 Enrollment ID: I20160428000757 |
| Provider Name | Daniel Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104112705 PECOS PAC ID: 9335448828 Enrollment ID: I20160505000271 |
| Provider Name | Troy Wayne Stovall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063426393 PECOS PAC ID: 8022204395 Enrollment ID: I20160606000463 |
| Provider Name | Jessica N Trentham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396199154 PECOS PAC ID: 9739479346 Enrollment ID: I20160609000678 |
| Provider Name | Daniel Scott Graves |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548557457 PECOS PAC ID: 0648418103 Enrollment ID: I20160629001385 |
| Provider Name | Charles B Orton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316262777 PECOS PAC ID: 9436386307 Enrollment ID: I20160719001436 |
| Provider Name | Lekshmi Seemanthini |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326229352 PECOS PAC ID: 6103014980 Enrollment ID: I20160801002218 |
| Provider Name | William V Ngo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962700070 PECOS PAC ID: 2264664671 Enrollment ID: I20160803002344 |
| Provider Name | Venkata C Gourineni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972733616 PECOS PAC ID: 2264680149 Enrollment ID: I20160822002910 |
| Provider Name | Umang L Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750514154 PECOS PAC ID: 1557503919 Enrollment ID: I20160824002802 |
| Provider Name | Teena Hedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366894602 PECOS PAC ID: 4789970732 Enrollment ID: I20160831001317 |
| Provider Name | Shannon C Sullivan-evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336596121 PECOS PAC ID: 6608162318 Enrollment ID: I20160907000509 |
| Provider Name | Rebecca A Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689026981 PECOS PAC ID: 6406142066 Enrollment ID: I20160907002236 |
| Provider Name | Shamir Haji |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659684488 PECOS PAC ID: 8820268519 Enrollment ID: I20161017000366 |
| Provider Name | April Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144775206 PECOS PAC ID: 6901194216 Enrollment ID: I20161019000325 |
| Provider Name | Benjamin Chaffins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629524855 PECOS PAC ID: 0345148375 Enrollment ID: I20161019003099 |
| Provider Name | Avni Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275972895 PECOS PAC ID: 1658659644 Enrollment ID: I20161026000536 |
| Provider Name | Kellie R Gaby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003268053 PECOS PAC ID: 7911289145 Enrollment ID: I20170124002365 |
| Provider Name | Beverly Arlene Ely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720535040 PECOS PAC ID: 4183904998 Enrollment ID: I20170320001158 |
| Provider Name | Brittany Hill Slatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083090682 PECOS PAC ID: 9638447113 Enrollment ID: I20170626001684 |
| Provider Name | Shannon Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073046751 PECOS PAC ID: 9537438361 Enrollment ID: I20170710002235 |
| Provider Name | Adam J Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871024539 PECOS PAC ID: 6901175546 Enrollment ID: I20170713000171 |
| Provider Name | Brijal P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043598063 PECOS PAC ID: 0042439259 Enrollment ID: I20170724001673 |
| Provider Name | Natalie Steele Bradford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861713505 PECOS PAC ID: 4082938840 Enrollment ID: I20170725001488 |
| Provider Name | Darren Barton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992084602 PECOS PAC ID: 8628364676 Enrollment ID: I20170726001117 |
| Provider Name | Dwyn Ellison Mackenzie Mounger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417497041 PECOS PAC ID: 6305117755 Enrollment ID: I20170803002982 |
| Provider Name | Jaime Claudette Holbert |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487064283 PECOS PAC ID: 5395030027 Enrollment ID: I20170823001467 |
| Provider Name | Marc Campbell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134416126 PECOS PAC ID: 7214209311 Enrollment ID: I20170824001823 |
| Provider Name | Michael L Douglas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902169543 PECOS PAC ID: 7810260528 Enrollment ID: I20170831001039 |
| Provider Name | Jenny Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679003461 PECOS PAC ID: 4284907585 Enrollment ID: I20170908000758 |
| Provider Name | Danielle Judith Darter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184605065 PECOS PAC ID: 8628039583 Enrollment ID: I20170911003084 |
| Provider Name | Teresa Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982122438 PECOS PAC ID: 8224303151 Enrollment ID: I20171003006421 |
| Provider Name | Tara S Shields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215347240 PECOS PAC ID: 2062707318 Enrollment ID: I20171006001142 |
| Provider Name | Anna C Nieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164975066 PECOS PAC ID: 6608160650 Enrollment ID: I20171011003421 |
| Provider Name | Amanda D Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942724414 PECOS PAC ID: 5395010664 Enrollment ID: I20171012001698 |
| Provider Name | Christopher L Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265846372 PECOS PAC ID: 4880810464 Enrollment ID: I20171019000536 |
| Provider Name | Alkiva Nicole Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033628284 PECOS PAC ID: 7315213170 Enrollment ID: I20171023000853 |
| Provider Name | Megan K Mccarley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841728185 PECOS PAC ID: 4688940208 Enrollment ID: I20171026002850 |
| Provider Name | Joel H Torres |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861751257 PECOS PAC ID: 7113239500 Enrollment ID: I20171030001658 |
| Provider Name | Laurel W Bivens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699286013 PECOS PAC ID: 4981964376 Enrollment ID: I20180202001243 |
| Provider Name | Heather M Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760610638 PECOS PAC ID: 6608020201 Enrollment ID: I20180518002466 |
| Provider Name | Jennifer M Starritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629518055 PECOS PAC ID: 1456606326 Enrollment ID: I20180618000585 |
| Provider Name | Elizabeth W Sowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427559129 PECOS PAC ID: 5092060715 Enrollment ID: I20180621001352 |
| Provider Name | Mary Serbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083125827 PECOS PAC ID: 6103172648 Enrollment ID: I20180712003643 |
| Provider Name | Ogei Yar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528198272 PECOS PAC ID: 1557458882 Enrollment ID: I20180720001896 |
| Provider Name | Allison D Locke |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518256148 PECOS PAC ID: 8224385166 Enrollment ID: I20180723003420 |
| Provider Name | Elena Lustana Cravens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134549157 PECOS PAC ID: 4082921796 Enrollment ID: I20180813000649 |
| Provider Name | Daniel I Cordas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730166265 PECOS PAC ID: 2466613005 Enrollment ID: I20180828000704 |
| Provider Name | Tyler Gilbert Gunderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477765014 PECOS PAC ID: 7012018807 Enrollment ID: I20180828002056 |
| Provider Name | Rasmi S Ajit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003202540 PECOS PAC ID: 8325399702 Enrollment ID: I20180924003723 |
| Provider Name | Elizabeth Julissa Dockery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669823332 PECOS PAC ID: 2668725227 Enrollment ID: I20181029001169 |
| Provider Name | Jennifer K Setser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699257063 PECOS PAC ID: 8224382411 Enrollment ID: I20181106001666 |
| Provider Name | Dana Kay Webber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598264434 PECOS PAC ID: 7416201694 Enrollment ID: I20181107002313 |
| Provider Name | Melissa Jane Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265941694 PECOS PAC ID: 2062766199 Enrollment ID: I20181108001390 |
| Provider Name | Kelly E Bewsey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831198118 PECOS PAC ID: 8123099645 Enrollment ID: I20190103002647 |
| Provider Name | Trea Austin Tipton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437629334 PECOS PAC ID: 9931446366 Enrollment ID: I20190123003160 |
| Provider Name | Eric Thomas Hartman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124137468 PECOS PAC ID: 4688567134 Enrollment ID: I20190124000705 |
| Provider Name | Charles B Fisher |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1972995603 PECOS PAC ID: 6204173149 Enrollment ID: I20190130001474 |
| Provider Name | Julie Fossett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740767417 PECOS PAC ID: 3072852086 Enrollment ID: I20190307003123 |
| Provider Name | Rebecca Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871053736 PECOS PAC ID: 7214261486 Enrollment ID: I20190620003373 |
| Provider Name | Jacob E Gingerich |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619394855 PECOS PAC ID: 2961737564 Enrollment ID: I20190717003862 |
| Provider Name | Joseph J Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649626805 PECOS PAC ID: 2860782588 Enrollment ID: I20190807003669 |
| Provider Name | Lauren Rene Panezich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396288650 PECOS PAC ID: 2961739396 Enrollment ID: I20190808000690 |
| Provider Name | Carissa Beth Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396982914 PECOS PAC ID: 0941366603 Enrollment ID: I20190905002358 |
| Provider Name | Christopher R Hagenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083062517 PECOS PAC ID: 2466748843 Enrollment ID: I20191003001248 |
| Provider Name | Tiffani M Zichko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588123806 PECOS PAC ID: 3577894567 Enrollment ID: I20191004002057 |
| Provider Name | Jessica L Hamby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003474354 PECOS PAC ID: 5496087496 Enrollment ID: I20191024000365 |
| Provider Name | Mary Wise |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831545086 PECOS PAC ID: 3072804459 Enrollment ID: I20191106003546 |
| Provider Name | Kristina L Needham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295385300 PECOS PAC ID: 7517399330 Enrollment ID: I20191118000409 |
| Provider Name | Misty Dawn Cottrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679128243 PECOS PAC ID: 3779915491 Enrollment ID: I20191119001851 |
| Provider Name | Shannon Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265086003 PECOS PAC ID: 3072948546 Enrollment ID: I20200112000002 |
| Provider Name | Linda Brown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356526875 PECOS PAC ID: 2860827649 Enrollment ID: I20200124001729 |
| Provider Name | Cady E Mccarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235785916 PECOS PAC ID: 0042646226 Enrollment ID: I20200206001853 |
| Provider Name | Kathleen Ward |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215127535 PECOS PAC ID: 9234371444 Enrollment ID: I20200316000785 |
| Provider Name | Jennifer Yanoschak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255300778 PECOS PAC ID: 8123922853 Enrollment ID: I20200506003376 |
| Provider Name | Katasha Flatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588010185 PECOS PAC ID: 4981987211 Enrollment ID: I20200602002997 |
| Provider Name | Adam Battles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689109324 PECOS PAC ID: 0042584799 Enrollment ID: I20200624001830 |
| Provider Name | Sara Negrotto |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932456621 PECOS PAC ID: 9335380013 Enrollment ID: I20200629001910 |
| Provider Name | Brandi M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275158149 PECOS PAC ID: 0143643379 Enrollment ID: I20200707002054 |
| Provider Name | Sara J Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154752145 PECOS PAC ID: 8022246636 Enrollment ID: I20200709002454 |
| Provider Name | Jennifer Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043412893 PECOS PAC ID: 0143361873 Enrollment ID: I20200721000653 |
| Provider Name | Rocco Cannistraro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427435072 PECOS PAC ID: 9638481476 Enrollment ID: I20200805003317 |
| Provider Name | Gonzalo De Villa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053845545 PECOS PAC ID: 9436426749 Enrollment ID: I20200807002982 |
| Provider Name | Charles J Allderdice |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104262096 PECOS PAC ID: 3577707272 Enrollment ID: I20200812001042 |
| Provider Name | Ryan George Semko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881129443 PECOS PAC ID: 1052681251 Enrollment ID: I20200824003391 |
| Provider Name | Lindsey Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205447604 PECOS PAC ID: 4183041742 Enrollment ID: I20200827000745 |
| Provider Name | John Noah Meriwether |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1356630008 PECOS PAC ID: 0840416293 Enrollment ID: I20200909003421 |
| Provider Name | Richard Mynatt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568487627 PECOS PAC ID: 6305732199 Enrollment ID: I20200922003297 |
| Provider Name | Alan Smiy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114965845 PECOS PAC ID: 7517924889 Enrollment ID: I20201008000651 |
| Provider Name | Emily Matheson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912518424 PECOS PAC ID: 3274943535 Enrollment ID: I20201028001069 |
| Provider Name | Staci Bubp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992322838 PECOS PAC ID: 3274943238 Enrollment ID: I20201102002092 |
| Provider Name | Jamie Mclemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134729965 PECOS PAC ID: 4981016383 Enrollment ID: I20201208002905 |
| Provider Name | Leah Emily Dobbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871873745 PECOS PAC ID: 8729309950 Enrollment ID: I20201219000000 |
| Provider Name | Abigail Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639784077 PECOS PAC ID: 2860809183 Enrollment ID: I20210401000914 |
| Provider Name | Jeannette Groschel-snead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730460262 PECOS PAC ID: 3577724699 Enrollment ID: I20210419000000 |
| Provider Name | Jamison Norwood |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902293038 PECOS PAC ID: 4981906740 Enrollment ID: I20210510002758 |
| Provider Name | Tyler Clayton Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568969509 PECOS PAC ID: 2062762339 Enrollment ID: I20210625001958 |
| Provider Name | Tiffany J Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548647555 PECOS PAC ID: 8325350671 Enrollment ID: I20210629001597 |
| Provider Name | Matthew Cziep |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538541958 PECOS PAC ID: 5193038669 Enrollment ID: I20210707004100 |
| Provider Name | Jennifer Gooch Rosson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922595099 PECOS PAC ID: 3870929540 Enrollment ID: I20210708002418 |
| Provider Name | Timothy Garrabrant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457856304 PECOS PAC ID: 8224468442 Enrollment ID: I20210721001613 |
| Provider Name | Henry Shiflett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528421658 PECOS PAC ID: 6305132838 Enrollment ID: I20210728001684 |
| Provider Name | Erika Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922698273 PECOS PAC ID: 0042615759 Enrollment ID: I20210818002906 |
| Provider Name | Chrystal Melanie Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205505799 PECOS PAC ID: 5193123693 Enrollment ID: I20211014000865 |
| Provider Name | Lora Ryzhkova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417449885 PECOS PAC ID: 0143618355 Enrollment ID: I20211020002312 |
| Provider Name | Savanah Graylynn Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881275568 PECOS PAC ID: 8325436082 Enrollment ID: I20211028002892 |
| Provider Name | Jiajia Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003451378 PECOS PAC ID: 6709277700 Enrollment ID: I20211230001431 |
| Provider Name | Michael Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477682102 PECOS PAC ID: 5799911228 Enrollment ID: I20220118000615 |
| Provider Name | Amy James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831425578 PECOS PAC ID: 2163611377 Enrollment ID: I20220204000373 |
| Provider Name | Brittany Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578217360 PECOS PAC ID: 4789078858 Enrollment ID: I20220307001607 |
| Provider Name | Emileigh Mckee Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730834359 PECOS PAC ID: 3173918976 Enrollment ID: I20220314001539 |
| Provider Name | David Koelsch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013919489 PECOS PAC ID: 9234190646 Enrollment ID: I20220428000271 |
| Provider Name | Wesley Allen Pettiford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740928803 PECOS PAC ID: 8820476690 Enrollment ID: I20220607001460 |
| Provider Name | William C Lorson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558724401 PECOS PAC ID: 3971899626 Enrollment ID: I20220609001200 |
| Provider Name | Alicia Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760862908 PECOS PAC ID: 0143522623 Enrollment ID: I20220720001661 |
| Provider Name | Jeremy Brooks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861873879 PECOS PAC ID: 6103130919 Enrollment ID: I20220801000939 |
| Provider Name | Charles K Grigsby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114366028 PECOS PAC ID: 3779725825 Enrollment ID: I20220829001596 |
| Provider Name | Hunt Dandridge Anderson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770508756 PECOS PAC ID: 8820284086 Enrollment ID: I20220902000295 |
| Provider Name | Caj Johansson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437611431 PECOS PAC ID: 9335543040 Enrollment ID: I20220923000792 |
| Provider Name | Kenneth Hardigan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437148582 PECOS PAC ID: 6709896525 Enrollment ID: I20221005003001 |
| Provider Name | Alexandra Maria Mckane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578128666 PECOS PAC ID: 4981070158 Enrollment ID: I20221013002153 |
| Provider Name | Jordan Patrick Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881322394 PECOS PAC ID: 9830565324 Enrollment ID: I20221025002601 |
| Provider Name | Savannah Rose Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821712217 PECOS PAC ID: 4082081872 Enrollment ID: I20221108001988 |
| Provider Name | Amanda N. Nations |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568105377 PECOS PAC ID: 3375910185 Enrollment ID: I20221108002794 |
| Provider Name | Rachel Lewis Parker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669827135 PECOS PAC ID: 9537455902 Enrollment ID: I20221111001990 |
| Provider Name | Ellen Cawood Partin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811515091 PECOS PAC ID: 4082000146 Enrollment ID: I20221112000166 |
| Provider Name | Joseph Vaughan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700873627 PECOS PAC ID: 5799881934 Enrollment ID: I20221206000095 |
| Provider Name | Chelsey Darlene Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003531583 PECOS PAC ID: 0840660668 Enrollment ID: I20230111002870 |
| Provider Name | Mary Hoehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104484823 PECOS PAC ID: 4789055971 Enrollment ID: I20230126001410 |
| Provider Name | Courtney Morrell Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861190126 PECOS PAC ID: 4789058330 Enrollment ID: I20230321002734 |
| Provider Name | Daniel Ryan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316391949 PECOS PAC ID: 9436441607 Enrollment ID: I20230323002024 |
| Provider Name | John Patrick Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538854658 PECOS PAC ID: 1658736293 Enrollment ID: I20230503002283 |
| Provider Name | Carolina Isabel Beardsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770173007 PECOS PAC ID: 6103283221 Enrollment ID: I20230606000812 |
| Provider Name | Edin Sadic |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386006526 PECOS PAC ID: 2365786191 Enrollment ID: I20230703000833 |
| Provider Name | Nathan Bolton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376170514 PECOS PAC ID: 8022433176 Enrollment ID: I20230810002114 |
| Provider Name | Jens Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942731229 PECOS PAC ID: 5991076978 Enrollment ID: I20230824001706 |
| Provider Name | Stevan Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720604689 PECOS PAC ID: 1153747233 Enrollment ID: I20230905002018 |
| Provider Name | Lindsay Gilligan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265184451 PECOS PAC ID: 4486008067 Enrollment ID: I20230930000619 |
| Provider Name | Ahmad Adel Taha Abu-heija |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134574072 PECOS PAC ID: 8820443047 Enrollment ID: I20231009000943 |
| Provider Name | Valerie Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972157402 PECOS PAC ID: 1951744259 Enrollment ID: I20240202002862 |
| Provider Name | Jessica Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770298986 PECOS PAC ID: 0042653735 Enrollment ID: I20240209001303 |
| Provider Name | Ashok Polu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053794826 PECOS PAC ID: 9739584210 Enrollment ID: I20240308000113 |
Families First Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2908 Tazewell Pike, Knoxville, TN 37918 Phone: 865-688-8999 Fax: 865-688-8090 | |
Urgent Care Centers Across America Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9221 Middlebrook Pike # 203, Knoxville, TN 37931 Phone: 865-281-5236 | |
Daphne M. Norwood, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1924 Alcoa Hwy, Box U114, Knoxville, TN 37920 Phone: 865-305-9349 Fax: 865-305-9144 | |
Baptist Primary And Senior Care - Downtown Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Blount Ave, Suite 502, Knoxville, TN 37920 Phone: 865-549-2942 Fax: 865-549-2941 | |
Foreveryoung Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5816 Kingston Pike Ste 1, Knoxville, TN 37919 Phone: 865-444-2130 | |
Ortho Sport & Spine Physicians Knoxville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4005 Fountain Valley Dr Ste 350, Knoxville, TN 37918 Phone: 678-752-7246 | |
Norwood Senior Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5541 Clinton Hwy, Knoxville, TN 37912 Phone: 865-281-2961 |