| Physicians Quality Care PLLC | |
|
2075 Pleasant Plains Ext Jackson TN 38305 | |
| (731) 984-8400 | |
| Not Available |
| Full Name | Physicians Quality Care PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2075 Pleasant Plains Ext, Jackson, Tennessee |
| Authorized Official Name and Position | James W Hoppers (OWNER) |
| Authorized Official Contact | 7319848400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Quality Care PLLC Po Box 12197 Jackson TN 38308-0136 Ph: (731) 984-8400 | Physicians Quality Care PLLC 2075 Pleasant Plains Ext Jackson TN 38305 Ph: (731) 984-8400 |
| NPI Number | 1528240256 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 02/08/2022 |
| Certification Date | 02/08/2022 |
| Medicare PECOS PAC ID | 4385728518 |
|---|---|
| Medicare Enrollment ID | O20080227000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528240256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | () | Secondary |
| Provider Name | Keith a Mosher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043366735 PECOS PAC ID: 8325941388 Enrollment ID: I20040128000919 |
| Provider Name | Donna J Wallis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851313191 PECOS PAC ID: 7517963788 Enrollment ID: I20061011000227 |
| Provider Name | Peter T Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821127093 PECOS PAC ID: 1658310115 Enrollment ID: I20100201000162 |
| Provider Name | Michiel B Rudder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841287109 PECOS PAC ID: 6103013917 Enrollment ID: I20101206001018 |
| Provider Name | Brandon L Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568699858 PECOS PAC ID: 4486842879 Enrollment ID: I20101229000853 |
| Provider Name | Christy a Sorrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376589614 PECOS PAC ID: 1355513631 Enrollment ID: I20111010000333 |
| Provider Name | Megan Hickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871833012 PECOS PAC ID: 7911203898 Enrollment ID: I20161028000595 |
| Provider Name | Michelle N Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851882849 PECOS PAC ID: 5496008963 Enrollment ID: I20181030003252 |
| Provider Name | Lisa R Crowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407294721 PECOS PAC ID: 1557653052 Enrollment ID: I20240502001292 |
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