| Northfield Family Practice Pc | |
|
6001 Jackson Square Blvd Ste 100 La Vergne TN 37086-2776 | |
| (615) 793-9900 | |
| (615) 939-9990 |
| Full Name | Northfield Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6001 Jackson Square Blvd Ste 100, La Vergne, Tennessee |
| Authorized Official Name and Position | Tina M Pettit (OFFICE MANAGER/AO) |
| Authorized Official Contact | 6157939900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northfield Family Practice Pc Po Box 57 La Vergne TN 37086-0057 Ph: (615) 793-9900 | Northfield Family Practice Pc 6001 Jackson Square Blvd Ste 100 La Vergne TN 37086-2776 Ph: (615) 793-9900 |
| NPI Number | 1093989691 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 12/03/2019 |
| Medicare PECOS PAC ID | 9830261650 |
|---|---|
| Medicare Enrollment ID | O20080710000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093989691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Moses A Swauncy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568415164 PECOS PAC ID: 8325940844 Enrollment ID: I20050202000747 |
Community Quick Care Of Lavergne, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5148a Murfreesboro Rd, La Vergne, TN 37086 Phone: 615-213-1203 Fax: 615-527-0270 | |
Jackson Square Family Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 Jackson Sq, Suite 100 Family Healthcare, La Vergne, TN 37086 Phone: 615-793-9900 Fax: 615-793-9990 | |
Jackson Square Family Healthcare In Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 Jackson Square Blvd Ste 100, La Vergne, TN 37086 Phone: 615-793-9900 Fax: 615-793-9990 |