| Firefly Health PLLC | |
|
421 N Broadway Portland TN 37148-1750 | |
| (615) 205-2100 | |
| Not Available |
| Full Name | Firefly Health PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 421 N Broadway, Portland, Tennessee |
| Authorized Official Name and Position | Marcus M Min (MD) |
| Authorized Official Contact | 6152052100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firefly Health PLLC Po Box 39 Portland TN 37148-0039 Ph: (615) 205-2100 | Firefly Health PLLC 421 N Broadway Portland TN 37148-1750 Ph: (615) 205-2100 |
| NPI Number | 1528749827 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 3971957572 |
|---|---|
| Medicare Enrollment ID | O20231002000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528749827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| Provider Name | Marcus M Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912977430 PECOS PAC ID: 3173578432 Enrollment ID: I20050318000791 |
| Provider Name | Justin C Toppins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508171125 PECOS PAC ID: 3577749548 Enrollment ID: I20120426000405 |
| Provider Name | Johna M Wix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043466139 PECOS PAC ID: 7416193743 Enrollment ID: I20130411000335 |
| Provider Name | Michael J Trimble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770859639 PECOS PAC ID: 9335437151 Enrollment ID: I20161011002882 |
| Provider Name | Maria a Neihoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568814648 PECOS PAC ID: 0749569572 Enrollment ID: I20181219001999 |
| Provider Name | Shantina Marie Kurtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962100768 PECOS PAC ID: 6901271527 Enrollment ID: I20230413001897 |
| Provider Name | Kerry Wilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396299731 PECOS PAC ID: 9830487586 Enrollment ID: I20231113002643 |
| Provider Name | Taylor Bauer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336863075 PECOS PAC ID: 1052856853 Enrollment ID: I20240717000901 |
| Provider Name | Kennedy Ellen Eidenire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477354793 PECOS PAC ID: 6204344237 Enrollment ID: I20250801001207 |
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