| Harrogate Health Group Llc | |
|
165 Westmoreland St Harrogate TN 37752-8202 | |
| (423) 441-8011 | |
| (423) 441-8014 |
| Full Name | Harrogate Health Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 165 Westmoreland St, Harrogate, Tennessee |
| Authorized Official Name and Position | Amy Jo Bussell (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 4234418011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrogate Health Group Llc 165 Westmoreland St Harrogate TN 37752-8202 Ph: (423) 441-8011 | Harrogate Health Group Llc 165 Westmoreland St Harrogate TN 37752-8202 Ph: (423) 441-8011 |
| NPI Number | 1144602574 |
|---|---|
| Provider Enumeration Date | 06/22/2015 |
| Last Update Date | 08/29/2025 |
| Medicare PECOS PAC ID | 4880903434 |
|---|---|
| Medicare Enrollment ID | O20151021001536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144602574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Samuel B Bayless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952674194 PECOS PAC ID: 7517128309 Enrollment ID: I20120423000608 |
| Provider Name | Sherri J Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346563459 PECOS PAC ID: 5698802015 Enrollment ID: I20151015001889 |
| Provider Name | Amy J Bussell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356784805 PECOS PAC ID: 9537308218 Enrollment ID: I20151024000015 |
| Provider Name | Malinda Kaye Munsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235700832 PECOS PAC ID: 7911398466 Enrollment ID: I20211217000573 |
| Provider Name | Luke Anthony Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427862952 PECOS PAC ID: 2860915303 Enrollment ID: I20250326000225 |
Hearland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Beech Street, Suite 1, Harrogate, TN 37752 Phone: 423-626-7297 Fax: 423-851-4704 | |
Family Medical Clinic Of Harrogate, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 170 Beech St Ste 1, Harrogate, TN 37752 Phone: 423-869-3684 Fax: 423-869-5460 | |
Harrogate Family & Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Westmoreland St Lowr Level, Harrogate, TN 37752 Phone: 423-869-0004 Fax: 423-869-5555 | |
Livesay Family Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Nettleton Rd Ste 1, Harrogate, TN 37752 Phone: 423-419-5550 Fax: 423-419-5551 |