| Diabetes Care Group | |
|
3322 W End Ave 11th Floor Nashville TN 37203-1031 | |
| (615) 515-9880 | |
| Not Available |
| Full Name | Diabetes Care Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 3322 W End Ave, Nashville, Tennessee |
| Authorized Official Name and Position | Margaret D'angelo (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6156102067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Care Group 3322 W End Ave 11th Floor Nashville TN 37203-1031 Ph: (615) 515-9880 | Diabetes Care Group 3322 W End Ave 11th Floor Nashville TN 37203-1031 Ph: (615) 515-9880 |
| NPI Number | 1811129323 |
|---|---|
| Provider Enumeration Date | 08/17/2009 |
| Last Update Date | 09/22/2014 |
| Medicare PECOS PAC ID | 2668516675 |
|---|---|
| Medicare Enrollment ID | O20100215000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811129323 | NPI | - | NPPES |
| 04982860 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Janice E Gunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871537332 PECOS PAC ID: 7113992439 Enrollment ID: I20040831000532 |
| Provider Name | Jinna M Shepherd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497789879 PECOS PAC ID: 7416046073 Enrollment ID: I20071204000660 |
| Provider Name | Marti Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306932033 PECOS PAC ID: 2163573379 Enrollment ID: I20090630000161 |
| Provider Name | Theresa L Cuevas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477628063 PECOS PAC ID: 7315087285 Enrollment ID: I20091228000424 |
| Provider Name | Yolanda Denise Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043545874 PECOS PAC ID: 1759414436 Enrollment ID: I20100802000483 |
| Provider Name | Carrie Loftiss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598954125 PECOS PAC ID: 6608058540 Enrollment ID: I20110418000636 |
| Provider Name | Melonie Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285902841 PECOS PAC ID: 3577710508 Enrollment ID: I20120828000030 |
| Provider Name | Lori A Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558632562 PECOS PAC ID: 8022197375 Enrollment ID: I20140725000682 |
| Provider Name | Dayna Pridgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649689548 PECOS PAC ID: 4981929932 Enrollment ID: I20150213001384 |
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