| Greenfield Family Care | |
|
801 S Meridian St Greenfield TN 38230-2104 | |
| (731) 235-0555 | |
| (731) 235-0559 |
| Full Name | Greenfield Family Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 S Meridian St, Greenfield, Tennessee |
| Authorized Official Name and Position | David J Wilbert (OWNER) |
| Authorized Official Contact | 7312350555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenfield Family Care 801 S Meridian St Greenfield TN 38230-2104 Ph: (731) 235-0555 | Greenfield Family Care 801 S Meridian St Greenfield TN 38230-2104 Ph: (731) 235-0555 |
| NPI Number | 1518226646 |
|---|---|
| Provider Enumeration Date | 05/09/2012 |
| Last Update Date | 03/27/2013 |
| Medicare PECOS PAC ID | 3971769001 |
|---|---|
| Medicare Enrollment ID | O20120718000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518226646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | TN 1396 (Tennessee) | Primary |
| 363A00000X | Physician Assistant | TN 1396 (Tennessee) | Secondary |
| Provider Name | Tye Browning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801875232 PECOS PAC ID: 4183686124 Enrollment ID: I20041101001119 |
| Provider Name | Michael a Revelle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295714558 PECOS PAC ID: 5496794588 Enrollment ID: I20050428000155 |
| Provider Name | Marion J Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952494643 PECOS PAC ID: 5991731556 Enrollment ID: I20050714000598 |
| Provider Name | David J Wilbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538172697 PECOS PAC ID: 8022017334 Enrollment ID: I20061214000489 |
| Provider Name | Charles R Lindsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073520482 PECOS PAC ID: 3577661040 Enrollment ID: I20070606000602 |
| Provider Name | Jessica Rains |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144516964 PECOS PAC ID: 9830377225 Enrollment ID: I20110707000670 |
| Provider Name | Samantha Lynn Davidson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831484179 PECOS PAC ID: 0749427482 Enrollment ID: I20150922002864 |
| Provider Name | Joseph Heath Thompson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134571490 PECOS PAC ID: 1759675937 Enrollment ID: I20160810002605 |
| Provider Name | Allie Boyd Seaton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427696582 PECOS PAC ID: 6709200942 Enrollment ID: I20200721004112 |
| Provider Name | Ariel S Diza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619735693 PECOS PAC ID: 0042756231 Enrollment ID: I20240724001714 |
Hometown Health Clinic Greenfield Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1731 S Meridan Street, Greenfield, TN 38230 Phone: 731-352-7907 Fax: 833-690-3848 |
Greenfield Family Medical Clinic, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 N Front St, Greenfield, TN 38230 Phone: 731-235-2271 Fax: 731-235-2323 |
Hometown Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1731 S Meridian St, Greenfield, TN 38230 Phone: 731-678-0055 Fax: 731-678-0059 |