| Clear Fork Clinic | |
|
5663 Hwy 90 Clairfield TN 37715 | |
| (423) 784-6135 | |
| (423) 784-8615 |
| Full Name | Clear Fork Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 5663 Hwy 90, Clairfield, Tennessee |
| Authorized Official Name and Position | Geogy Thomas (CEO) |
| Authorized Official Contact | 4237848492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Fork Clinic 107 S Main St P.o. Box 540 Jellico TN 37762-2154 Ph: (423) 784-8492 | Clear Fork Clinic 5663 Hwy 90 Clairfield TN 37715 Ph: (423) 784-6135 |
| NPI Number | 1013049469 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 11/25/2025 |
| Certification Date | 11/25/2025 |
| Medicare PECOS PAC ID | 7214990746 |
|---|---|
| Medicare Enrollment ID | O20041215000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013049469 | NPI | - | NPPES |
| 65903148 | Medicaid | KY | |
| 0395390 | Other | TN | UMWA |
| 4447807 | Medicaid | TN | |
| 702210 | Other | TN | BLACK LUNG |
| Provider Name | Deborah E Terry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740283357 PECOS PAC ID: 3173589843 Enrollment ID: I20041203000816 |
| Provider Name | Aleshia Lunsford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285633925 PECOS PAC ID: 2163457805 Enrollment ID: I20050930000228 |
| Provider Name | Cathleen C Suto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013902527 PECOS PAC ID: 8224103692 Enrollment ID: I20080819000847 |
| Provider Name | Sarah B Mcqueen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114174984 PECOS PAC ID: 1850459439 Enrollment ID: I20081027000233 |
| Provider Name | Natalie Wilbanks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144558644 PECOS PAC ID: 4981733011 Enrollment ID: I20100527000204 |
| Provider Name | Geogy Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891798492 PECOS PAC ID: 3971795873 Enrollment ID: I20101209000949 |
| Provider Name | James Wendell Killian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649273467 PECOS PAC ID: 8729111844 Enrollment ID: I20111123000548 |
| Provider Name | Christopher Adkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720373459 PECOS PAC ID: 9133357205 Enrollment ID: I20141229001189 |
| Provider Name | Clayton Dylan Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487023248 PECOS PAC ID: 4183934854 Enrollment ID: I20170321000462 |
| Provider Name | Megan Rae Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639617939 PECOS PAC ID: 4880967371 Enrollment ID: I20170920000582 |
| Provider Name | Lindsey Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952772394 PECOS PAC ID: 3173824182 Enrollment ID: I20171114001431 |
| Provider Name | Laura Reed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346622594 PECOS PAC ID: 1355656786 Enrollment ID: I20181129002073 |
| Provider Name | Adrian Davies |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366934382 PECOS PAC ID: 1456697812 Enrollment ID: I20190107002666 |
| Provider Name | Keven Jeffers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609357953 PECOS PAC ID: 2769722057 Enrollment ID: I20190325000278 |
| Provider Name | Anne Steptoe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386171254 PECOS PAC ID: 1557632858 Enrollment ID: I20230516001975 |
| Provider Name | Jonathan Tyler White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154998540 PECOS PAC ID: 5092112201 Enrollment ID: I20230726000961 |
| Provider Name | Christy Renee Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275247306 PECOS PAC ID: 3375905367 Enrollment ID: I20230808001161 |
| Provider Name | Brittany Dow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841859584 PECOS PAC ID: 9335478676 Enrollment ID: I20230808001550 |
| Provider Name | Radha Reddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780652073 PECOS PAC ID: 0648218875 Enrollment ID: I20240103001479 |
| Provider Name | Kenneth Alcorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346621240 PECOS PAC ID: 6204169667 Enrollment ID: I20240125000583 |
| Provider Name | Lindsay Jewel Ledwich |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124227103 PECOS PAC ID: 2961553896 Enrollment ID: I20240503000212 |
| Provider Name | Anna Vimala John |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144970781 PECOS PAC ID: 2466979588 Enrollment ID: I20250512001740 |
| Provider Name | Devyn Sams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275345266 PECOS PAC ID: 6103324611 Enrollment ID: I20250827003103 |