| Middle Tennessee Family Care | |
|
2025 N Mount Juliet Rd Suite 120 Mount Juliet TN 37122-3316 | |
| (615) 773-2712 | |
| (615) 773-2707 |
| Full Name | Middle Tennessee Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2025 N Mount Juliet Rd, Mount Juliet, Tennessee |
| Authorized Official Name and Position | Katherine W Jones (OWNER) |
| Authorized Official Contact | 6157732712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Tennessee Family Care 2025 N Mount Juliet Rd Suite 120 Mount Juliet TN 37122 Ph: (615) 773-2712 | Middle Tennessee Family Care 2025 N Mount Juliet Rd Suite 120 Mount Juliet TN 37122-3316 Ph: (615) 773-2712 |
| NPI Number | 1972608149 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 11/07/2012 |
| Medicare PECOS PAC ID | 4587625066 |
|---|---|
| Medicare Enrollment ID | O20041019001211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972608149 | NPI | - | NPPES |
| 3709374 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Katherine W Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427023605 PECOS PAC ID: 3678534054 Enrollment ID: I20041019001321 |
| Provider Name | Donna K Blanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912206764 PECOS PAC ID: 6608020193 Enrollment ID: I20130211000137 |
| Provider Name | Megan Lanham Fackler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962897199 PECOS PAC ID: 0345545562 Enrollment ID: I20160226000206 |
| Provider Name | Van T Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275922254 PECOS PAC ID: 7719283738 Enrollment ID: I20160316002115 |
Simplycare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 151 Adams Ln, Suite 13, Mount Juliet, TN 37122 Phone: 615-288-4087 Fax: 615-553-4250 | |
Totty Chiropractic Of Mt. Juliet, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 541 N Mount Juliet Rd, Suite 2101, Mount Juliet, TN 37122 Phone: 615-758-7101 Fax: 615-758-7102 |