| Celebration Family Care Pllc | |
|
529 W Commerce St Lewisburg TN 37091-3219 | |
| (931) 270-9729 | |
| (931) 270-9926 |
| Full Name | Celebration Family Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 529 W Commerce St, Lewisburg, Tennessee |
| Authorized Official Name and Position | Chad Graham (ADMINISTRATOR) |
| Authorized Official Contact | 9315800112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Celebration Family Care Pllc 529 W Commerce St Lewisburg TN 37091-3219 Ph: (931) 270-9729 | Celebration Family Care Pllc 529 W Commerce St Lewisburg TN 37091-3219 Ph: (931) 270-9729 |
| NPI Number | 1891053823 |
|---|---|
| Provider Enumeration Date | 04/27/2012 |
| Last Update Date | 05/08/2015 |
| Medicare PECOS PAC ID | 4385883172 |
|---|---|
| Medicare Enrollment ID | O20130627000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891053823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD024783 (Tennessee) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Joseph Howard Rupard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861451338 PECOS PAC ID: 7214052356 Enrollment ID: I20100914000285 |
| Provider Name | Melissa Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043676422 PECOS PAC ID: 1254637721 Enrollment ID: I20160309000965 |
| Provider Name | Centeria Green Woolfolk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104343318 PECOS PAC ID: 6305112988 Enrollment ID: I20171026000790 |
| Provider Name | John Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649779786 PECOS PAC ID: 7214286079 Enrollment ID: I20180828001272 |
| Provider Name | Korevina Lasha Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184288938 PECOS PAC ID: 1951637065 Enrollment ID: I20190726002919 |
| Provider Name | Serena J Proudfoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497417232 PECOS PAC ID: 1254711310 Enrollment ID: I20220706003975 |
South Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 2nd Ave South, Lewisburg, TN 37091 Phone: 931-422-5029 Fax: 931-422-5229 | |
Family Health Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091 Phone: 931-359-0019 Fax: 931-359-7381 | |
Independent Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 N Ellington Pkwy Ste 6, Lewisburg, TN 37091 Phone: 931-359-1913 Fax: 931-359-1932 | |
David Alfredson Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 529 W Commerce St, Lewisburg, TN 37091 Phone: 931-276-2234 Fax: 931-276-2233 | |
Charles R Tessier Iv Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 W Church St, Lewisburg, TN 37091 Phone: 931-359-3551 Fax: 931-359-8421 | |
Family Health Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091 Phone: 931-359-0019 Fax: 931-359-7381 | |
Premise Health Of Tennessee Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 Nashville Hwy, Lewisburg, TN 37091 Phone: 931-422-2030 |