| Carney's Family Clinic | |
|
190 W Main St Camden TN 38320-1609 | |
| (731) 213-2662 | |
| (731) 213-2539 |
| Full Name | Carney's Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 190 W Main St, Camden, Tennessee |
| Authorized Official Name and Position | William R Carney (PHYSICIAN) |
| Authorized Official Contact | 6158910202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carney's Family Clinic 190 W Main St Camden TN 38320-1609 Ph: (731) 213-2662 | Carney's Family Clinic 190 W Main St Camden TN 38320-1609 Ph: (731) 213-2662 |
| NPI Number | 1467841742 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 06/09/2026 |
| Certification Date | 06/09/2026 |
| Medicare PECOS PAC ID | 4688981665 |
|---|---|
| Medicare Enrollment ID | O20150923003336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467841742 | NPI | - | NPPES |
| Q013944 | Medicaid | TN |
| Provider Name | William R Carney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770521940 PECOS PAC ID: 4688655525 Enrollment ID: I20040526001658 |
| Provider Name | Judy B Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811133622 PECOS PAC ID: 1658429535 Enrollment ID: I20090622000066 |
| Provider Name | Jessica Millraney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508309766 PECOS PAC ID: 3375827397 Enrollment ID: I20170310000722 |
| Provider Name | Shawn Fortenberry Churchill Coy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255425922 PECOS PAC ID: 9739565185 Enrollment ID: I20221007002050 |
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