| Healing Hands Mobile Physician Group LLC | |
|
200 W Martin Luther King Blvd Ste 1000 Chattanooga TN 37402-2571 | |
| (423) 269-2255 | |
| Not Available |
| Full Name | Healing Hands Mobile Physician Group LLC |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 200 W Martin Luther King Blvd Ste 1000, Chattanooga, Tennessee |
| Authorized Official Name and Position | Gary Poole (OWNER) |
| Authorized Official Contact | 4232692255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hands Mobile Physician Group LLC 200 W Martin Luther King Blvd Chattanooga TN 37402-2560 Ph: (423) 269-2255 | Healing Hands Mobile Physician Group LLC 200 W Martin Luther King Blvd Ste 1000 Chattanooga TN 37402-2571 Ph: (423) 269-2255 |
| NPI Number | 1982456422 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 04/23/2026 |
| Certification Date | 04/23/2026 |
| Medicare PECOS PAC ID | 7911347885 |
|---|---|
| Medicare Enrollment ID | O20240426000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982456422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (NU) | Primary |
| Provider Name | Leah Elrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780932939 PECOS PAC ID: 4284881947 Enrollment ID: I20220223000318 |
| Provider Name | Johnna S Abbasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508331505 PECOS PAC ID: 9830425503 Enrollment ID: I20250317000620 |
| Provider Name | Christopher Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730769183 PECOS PAC ID: 2567980568 Enrollment ID: I20250514000424 |
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