| Gastroenterology Center Of The Midsouth Pllc | |
|
8000 Wolf River Blvd Ste 200 Germantown TN 38138-1755 | |
| (901) 747-3630 | |
| Not Available |
| Full Name | Gastroenterology Center Of The Midsouth Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8000 Wolf River Blvd Ste 200, Germantown, Tennessee |
| Authorized Official Name and Position | Kristina Materna (DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 9013778219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Center Of The Midsouth Pllc One Gi Credentialing Department Po Box 381468 Germantown TN 38183-1468 Ph: () - | Gastroenterology Center Of The Midsouth Pllc 8000 Wolf River Blvd Ste 200 Germantown TN 38138-1755 Ph: (901) 747-3630 |
| NPI Number | 1417932492 |
|---|---|
| Provider Enumeration Date | 12/13/2005 |
| Last Update Date | 02/03/2026 |
| Medicare PECOS PAC ID | 4880619824 |
|---|---|
| Medicare Enrollment ID | O20051010000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417932492 | NPI | - | NPPES |
| Provider Name | Roger L Huey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780643494 PECOS PAC ID: 7911990346 Enrollment ID: I20040403000038 |
| Provider Name | Robin W Seale |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275512410 PECOS PAC ID: 0345239166 Enrollment ID: I20040510000664 |
| Provider Name | Garry W Bray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962425926 PECOS PAC ID: 1658353354 Enrollment ID: I20040605000311 |
| Provider Name | Patricia Tharp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891807020 PECOS PAC ID: 9931183621 Enrollment ID: I20040618000231 |
| Provider Name | Cheryl A Sanders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427148428 PECOS PAC ID: 2567440431 Enrollment ID: I20040708001029 |
| Provider Name | Toney L Banks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205839727 PECOS PAC ID: 6507830874 Enrollment ID: I20040823000861 |
| Provider Name | Janie Parrott Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558375196 PECOS PAC ID: 1254372238 Enrollment ID: I20050519000838 |
| Provider Name | David Irwin Bridgers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154339414 PECOS PAC ID: 9436185485 Enrollment ID: I20050712000428 |
| Provider Name | Tiffany Shannon Ray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114097615 PECOS PAC ID: 1153358072 Enrollment ID: I20050722000275 |
| Provider Name | Penneye Michelle Holder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063492023 PECOS PAC ID: 5799718862 Enrollment ID: I20050919000353 |
| Provider Name | Noel K Hunt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881603538 PECOS PAC ID: 7113942103 Enrollment ID: I20051010000145 |
| Provider Name | Dwayne L Accardo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821091554 PECOS PAC ID: 8123915121 Enrollment ID: I20051116000372 |
| Provider Name | John B Averette |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366477390 PECOS PAC ID: 8527062181 Enrollment ID: I20060913000211 |
| Provider Name | Christopher M Griffith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588735617 PECOS PAC ID: 2860590478 Enrollment ID: I20070611000312 |
| Provider Name | Christopher D Stewart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558313429 PECOS PAC ID: 8224005657 Enrollment ID: I20080123000325 |
| Provider Name | Mary K Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760590806 PECOS PAC ID: 7113914813 Enrollment ID: I20080130000442 |
| Provider Name | Julie Willard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972792794 PECOS PAC ID: 8224112966 Enrollment ID: I20080220000151 |
| Provider Name | Lawrence Anthony Strong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679525620 PECOS PAC ID: 5890799522 Enrollment ID: I20080221000572 |
| Provider Name | Jon A Szubski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881796571 PECOS PAC ID: 9931288263 Enrollment ID: I20080512000292 |
| Provider Name | Sarah Hodge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285828020 PECOS PAC ID: 6608945100 Enrollment ID: I20080524000009 |
| Provider Name | Gary Keith Barnett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225290844 PECOS PAC ID: 5799858759 Enrollment ID: I20080724000005 |
| Provider Name | Ernest Q Williams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588623292 PECOS PAC ID: 5799722377 Enrollment ID: I20090210000367 |
| Provider Name | Barbara Bentley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093802670 PECOS PAC ID: 1759331382 Enrollment ID: I20090406000454 |
| Provider Name | Vicki A Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154563005 PECOS PAC ID: 3072661339 Enrollment ID: I20090427000245 |
| Provider Name | Clarence A Justice |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184614620 PECOS PAC ID: 0042235186 Enrollment ID: I20100707000522 |
| Provider Name | William Z Taylor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063497642 PECOS PAC ID: 8628078078 Enrollment ID: I20100714000459 |
| Provider Name | Michael Dragutsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851372213 PECOS PAC ID: 1557361904 Enrollment ID: I20100726000496 |
| Provider Name | John H Webb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801804133 PECOS PAC ID: 4385745033 Enrollment ID: I20100730000616 |
| Provider Name | Stephen T Threadgill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225046543 PECOS PAC ID: 9739212556 Enrollment ID: I20100730000626 |
| Provider Name | Shelley Hood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548269517 PECOS PAC ID: 4082776737 Enrollment ID: I20100805000820 |
| Provider Name | Ashley Vaughn Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609185859 PECOS PAC ID: 1951598754 Enrollment ID: I20101206000957 |
| Provider Name | John O Phillips |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023077732 PECOS PAC ID: 0345287926 Enrollment ID: I20110128000958 |
| Provider Name | Stephen T Amann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063471761 PECOS PAC ID: 1456398031 Enrollment ID: I20110706000053 |
| Provider Name | Christopher D Miller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699777409 PECOS PAC ID: 4789654922 Enrollment ID: I20111215000709 |
| Provider Name | Robert S Wooten |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437134020 PECOS PAC ID: 0446250898 Enrollment ID: I20111230000361 |
| Provider Name | Ziad H Younes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285619874 PECOS PAC ID: 1355341702 Enrollment ID: I20111230000526 |
| Provider Name | Eric J Ormseth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982686515 PECOS PAC ID: 2365442712 Enrollment ID: I20120105000041 |
| Provider Name | William G Ogg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881816619 PECOS PAC ID: 8123201969 Enrollment ID: I20120711000111 |
| Provider Name | Cynthia Hubbard Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679820799 PECOS PAC ID: 9931353372 Enrollment ID: I20130212000117 |
| Provider Name | Brandon Bishop |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821381278 PECOS PAC ID: 6709064207 Enrollment ID: I20130913000307 |
| Provider Name | Alex E. Baum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962452615 PECOS PAC ID: 0547226557 Enrollment ID: I20130926000540 |
| Provider Name | Shuronda L King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700091519 PECOS PAC ID: 4385745801 Enrollment ID: I20131023000416 |
| Provider Name | Gary A Wruble |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215939897 PECOS PAC ID: 9234276247 Enrollment ID: I20131101000185 |
| Provider Name | Mindy M Douglas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679913750 PECOS PAC ID: 7911134044 Enrollment ID: I20131218000286 |
| Provider Name | Emma Dicesare |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770870156 PECOS PAC ID: 9133394257 Enrollment ID: I20140523001023 |
| Provider Name | Brendan Mckinney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043591290 PECOS PAC ID: 4880865005 Enrollment ID: I20140529001475 |
| Provider Name | Laura N Billingsley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245646314 PECOS PAC ID: 4789806555 Enrollment ID: I20141111000937 |
| Provider Name | Christopher H Decker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679734933 PECOS PAC ID: 5395889265 Enrollment ID: I20141210001352 |
| Provider Name | Cara C Fisk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972809648 PECOS PAC ID: 0244414043 Enrollment ID: I20150121001660 |
| Provider Name | Terrence L Jackson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760484372 PECOS PAC ID: 1052458064 Enrollment ID: I20150514000837 |
| Provider Name | Joseph G Baltz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497958235 PECOS PAC ID: 7517104029 Enrollment ID: I20150520000478 |
| Provider Name | Bryan F Thompson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164424644 PECOS PAC ID: 3870575178 Enrollment ID: I20150520000988 |
| Provider Name | Robert B Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821250978 PECOS PAC ID: 7911121843 Enrollment ID: I20150821013857 |
| Provider Name | Sri Lakshmi Narra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134342868 PECOS PAC ID: 4981735354 Enrollment ID: I20151107000008 |
| Provider Name | Carolyn V Naylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538110887 PECOS PAC ID: 9032023585 Enrollment ID: I20160519002418 |
| Provider Name | Yongxin Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528354883 PECOS PAC ID: 7214239730 Enrollment ID: I20160727000586 |
| Provider Name | Kristen Pembroke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770758450 PECOS PAC ID: 2466524152 Enrollment ID: I20160806000007 |
| Provider Name | Rajesh Ramachandran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194992271 PECOS PAC ID: 9931332715 Enrollment ID: I20161216001193 |
| Provider Name | Amanda Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568813517 PECOS PAC ID: 5294013850 Enrollment ID: I20170217000321 |
| Provider Name | Sufiyan H Chaudhry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457569998 PECOS PAC ID: 6103981188 Enrollment ID: I20170502002615 |
| Provider Name | William R Stone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346530599 PECOS PAC ID: 7517104110 Enrollment ID: I20170722000015 |
| Provider Name | Joshua B French |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083931364 PECOS PAC ID: 7214174994 Enrollment ID: I20170828000315 |
| Provider Name | Joshua Parker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215384425 PECOS PAC ID: 5193010114 Enrollment ID: I20171117002676 |
| Provider Name | Grace Taylor Sells |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891068623 PECOS PAC ID: 0143489930 Enrollment ID: I20171120001434 |
| Provider Name | Stephanie B Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851350094 PECOS PAC ID: 8921023888 Enrollment ID: I20180129000926 |
| Provider Name | Stephanie Accardo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619311404 PECOS PAC ID: 4587804638 Enrollment ID: I20180523001084 |
| Provider Name | Scott Joseph Duncan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841582236 PECOS PAC ID: 3870730575 Enrollment ID: I20180530000661 |
| Provider Name | Kevin W Cox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235195553 PECOS PAC ID: 7113960907 Enrollment ID: I20180727002752 |
| Provider Name | Angela Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215470489 PECOS PAC ID: 0648552208 Enrollment ID: I20181022000883 |
| Provider Name | Stephanie Elyse Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720563596 PECOS PAC ID: 1153668108 Enrollment ID: I20190129001440 |
| Provider Name | Ashley Sugg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114330495 PECOS PAC ID: 5092935924 Enrollment ID: I20190402001680 |
| Provider Name | Mary Peyton Gupta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851612931 PECOS PAC ID: 8123266145 Enrollment ID: I20190708000788 |
| Provider Name | Sarah K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194377457 PECOS PAC ID: 1153651757 Enrollment ID: I20191204002060 |
| Provider Name | Anna Marcy Kiihnl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346896123 PECOS PAC ID: 3577990241 Enrollment ID: I20200219002339 |
| Provider Name | Martha A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770637464 PECOS PAC ID: 6305098716 Enrollment ID: I20200331003498 |
| Provider Name | Jerica Mason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194180786 PECOS PAC ID: 8921304544 Enrollment ID: I20200723000402 |
| Provider Name | Kevin John Batte |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982017521 PECOS PAC ID: 7810119625 Enrollment ID: I20200729000918 |
| Provider Name | Rebecca Bush |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538430152 PECOS PAC ID: 4981864949 Enrollment ID: I20200804000724 |
| Provider Name | Amanda Paige Christopher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720229388 PECOS PAC ID: 8628129327 Enrollment ID: I20200811000403 |
| Provider Name | Leigh Beth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689281685 PECOS PAC ID: 1951721539 Enrollment ID: I20201020003847 |
| Provider Name | Sarah Catherine Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972118701 PECOS PAC ID: 1254751787 Enrollment ID: I20201021001909 |
| Provider Name | Richard Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548870611 PECOS PAC ID: 6406262047 Enrollment ID: I20210308000214 |
| Provider Name | Jenna Berryhill Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841875911 PECOS PAC ID: 9133538390 Enrollment ID: I20210614000879 |
| Provider Name | Joseph B Shemwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710505391 PECOS PAC ID: 9436550589 Enrollment ID: I20210709001573 |
| Provider Name | Timothy L Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902085517 PECOS PAC ID: 3072586031 Enrollment ID: I20210830002724 |
| Provider Name | Peter David Snell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003293622 PECOS PAC ID: 0446561732 Enrollment ID: I20220810002151 |
| Provider Name | Allie Michelle Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225768922 PECOS PAC ID: 5294117404 Enrollment ID: I20220831000436 |
| Provider Name | Patrick Stephen Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710410436 PECOS PAC ID: 9537436787 Enrollment ID: I20230501002566 |
| Provider Name | Claire Williamson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487218848 PECOS PAC ID: 6608235585 Enrollment ID: I20230714000714 |
| Provider Name | Andrew Polatty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851529317 PECOS PAC ID: 6406907468 Enrollment ID: I20230906002376 |
| Provider Name | Angela C Ugwuanyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427611466 PECOS PAC ID: 4688900202 Enrollment ID: I20240205003703 |
| Provider Name | Zaid Kadhim Mahdi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770826703 PECOS PAC ID: 2163792797 Enrollment ID: I20240223001290 |
| Provider Name | Tarrah Jayde Lowther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326817453 PECOS PAC ID: 0547600181 Enrollment ID: I20240430003760 |
| Provider Name | Valerie Jeanette Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689626087 PECOS PAC ID: 0840487492 Enrollment ID: I20240509003817 |
| Provider Name | Sara A Wilkinson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720568868 PECOS PAC ID: 7517211733 Enrollment ID: I20240513003572 |
| Provider Name | Lisa Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245542323 PECOS PAC ID: 2668506148 Enrollment ID: I20240515000310 |
| Provider Name | Neil William Buettner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013935998 PECOS PAC ID: 6204828437 Enrollment ID: I20240531000116 |
| Provider Name | Mary Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952490450 PECOS PAC ID: 0840390696 Enrollment ID: I20240616000034 |
| Provider Name | Timothy J Moore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609575695 PECOS PAC ID: 7416495890 Enrollment ID: I20240830001752 |
| Provider Name | Ashley Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124653340 PECOS PAC ID: 7416387295 Enrollment ID: I20241001004243 |
| Provider Name | Abigail Brister Channell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386462372 PECOS PAC ID: 3476080938 Enrollment ID: I20241220003850 |
| Provider Name | Deana Katelyn Gentry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831868728 PECOS PAC ID: 3274981972 Enrollment ID: I20250123001840 |
Campbell Clinic, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 S Germantown Rd, Germantown, TN 38138 Phone: 901-759-3100 | |
Biomechaniks, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 Village Shops Dr, Germantown, TN 38138 Phone: 901-620-6127 Fax: 901-620-6124 | |
Crossroads Urgent Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7860 Wolf River Blvd, Germantown, TN 38138 Phone: 901-390-4300 | |
Lewis Loskovitz Md Apc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2018 Germantown Rd S, Germantown, TN 38138 Phone: 901-754-8880 Fax: 901-754-8883 | |
Iris Medical Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7695 Poplar Pike Ste 202, Germantown, TN 38138 Phone: 662-208-6234 Fax: 662-208-6235 | |
Germantown Internal Medicine Associates,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7645 Wolf River Cir, Suite 202, Germantown, TN 38138 Phone: 901-348-6487 Fax: 901-791-0338 | |
Margaret Lashun Henderson-lee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2158 Judicial Dr, Germantown, TN 38138 Phone: 901-421-5174 |