| Grace Primary Care, Pc | |
|
950 Baker Hwy Suite 4 Huntsville TN 37756-4168 | |
| (423) 663-4200 | |
| (423) 663-4256 |
| Full Name | Grace Primary Care, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 950 Baker Hwy, Huntsville, Tennessee |
| Authorized Official Name and Position | Timothy D. Smith (OWNER) |
| Authorized Official Contact | 4236634200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Primary Care, Pc 950 Baker Hwy Suite 4 Huntsville TN 37756-4168 Ph: (423) 663-4200 | Grace Primary Care, Pc 950 Baker Hwy Suite 4 Huntsville TN 37756-4168 Ph: (423) 663-4200 |
| NPI Number | 1992742605 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 01/04/2010 |
| Medicare PECOS PAC ID | 3971544131 |
|---|---|
| Medicare Enrollment ID | O20050518000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992742605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3717835 (Tennessee) | Primary |
| Provider Name | Timothy D Smith |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720021660 PECOS PAC ID: 8426099680 Enrollment ID: I20050520000140 |
| Provider Name | Karla S West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689832271 PECOS PAC ID: 8628149317 Enrollment ID: I20080624000682 |
| Provider Name | Lori B Weathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740300516 PECOS PAC ID: 7416092176 Enrollment ID: I20100305000057 |
Summit Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Baker Hwy Unit 4, Huntsville, TN 37756 Phone: 423-663-4200 Fax: 423-663-4256 | |
Crossroads Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Baker Hwy, Huntsville, TN 37756 Phone: 404-266-9876 Fax: 404-266-2669 |