| Michie Medical Clinic, Inc. | |
|
6659 Michie Pebble Hill Rd Michie TN 38357-5115 | |
| (731) 632-1783 | |
| Not Available |
| Full Name | Michie Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6659 Michie Pebble Hill Rd, Michie, Tennessee |
| Authorized Official Name and Position | Brandon K Sumler (DIRECTOR) |
| Authorized Official Contact | 7316321783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michie Medical Clinic, Inc. 6659 Michie Pebble Hill Rd Michie TN 38357-5115 Ph: (731) 632-1783 | Michie Medical Clinic, Inc. 6659 Michie Pebble Hill Rd Michie TN 38357-5115 Ph: (731) 632-1783 |
| NPI Number | 1861695900 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 09/23/2025 |
| Medicare PECOS PAC ID | 6608806500 |
|---|---|
| Medicare Enrollment ID | O20050819000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861695900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | APN0000006617 (Tennessee) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Mary S Rhoads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386699361 PECOS PAC ID: 0244260149 Enrollment ID: I20050822000137 |
| Provider Name | Kerri E. Sumler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902301237 PECOS PAC ID: 1052675808 Enrollment ID: I20210805001543 |
Magnolia Regional Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6659 Michie Pebble Hill Rd, Michie, TN 38357 Phone: 731-227-5211 Fax: 731-227-5212 |