| Privia Medical Group Tennessee Llc | |
|
1 Vantage Way Ste C240 Nashville TN 37228-1580 | |
| (571) 982-6636 | |
| (240) 696-1353 |
| Full Name | Privia Medical Group Tennessee Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Vantage Way Ste C240, Nashville, Tennessee |
| Authorized Official Name and Position | Mary Roller (ASSOCIATE DIRECTOR/ENROLLMENT) |
| Authorized Official Contact | 7703125226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Privia Medical Group Tennessee Llc 950 N Glebe Rd Ste 700 Arlington VA 22203-4173 Ph: (571) 982-6636 | Privia Medical Group Tennessee Llc 1 Vantage Way Ste C240 Nashville TN 37228-1580 Ph: (571) 982-6636 |
| NPI Number | 1376110858 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 08/16/2022 |
| Medicare PECOS PAC ID | 0547667552 |
|---|---|
| Medicare Enrollment ID | O20210917001131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376110858 | NPI | - | NPPES |
| Provider Name | Charles R Kaelin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861469017 PECOS PAC ID: 3375440340 Enrollment ID: I20031217000657 |
| Provider Name | Julie C Stinson-reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598723645 PECOS PAC ID: 9739081100 Enrollment ID: I20040126000154 |
| Provider Name | Daniel R Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043209265 PECOS PAC ID: 1153317383 Enrollment ID: I20040422001538 |
| Provider Name | Walter E Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205878220 PECOS PAC ID: 2769470855 Enrollment ID: I20040505001703 |
| Provider Name | Archana Kochar-mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235172800 PECOS PAC ID: 1951387901 Enrollment ID: I20040629000756 |
| Provider Name | Tammy L Mcgee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497700132 PECOS PAC ID: 8628037629 Enrollment ID: I20041006000243 |
| Provider Name | Ashok K Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114961596 PECOS PAC ID: 4880655448 Enrollment ID: I20041026000993 |
| Provider Name | Frederick R Yarid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508865205 PECOS PAC ID: 8820067028 Enrollment ID: I20041028001029 |
| Provider Name | Adejoke F. Aina-babalola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669556148 PECOS PAC ID: 8426013376 Enrollment ID: I20041119001020 |
| Provider Name | Jessica M Ruffin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972514578 PECOS PAC ID: 8123085305 Enrollment ID: I20050221000189 |
| Provider Name | Jason A Colinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609829241 PECOS PAC ID: 6709820160 Enrollment ID: I20050616000151 |
| Provider Name | Keith D Nord |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033180948 PECOS PAC ID: 8921992835 Enrollment ID: I20051110000270 |
| Provider Name | Rebecca A Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871642090 PECOS PAC ID: 9739199076 Enrollment ID: I20060504000014 |
| Provider Name | Michael Lee Stack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316943301 PECOS PAC ID: 9032120829 Enrollment ID: I20060508000817 |
| Provider Name | James E Seeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568448736 PECOS PAC ID: 8224041298 Enrollment ID: I20060714000097 |
| Provider Name | Jason Boylan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538116561 PECOS PAC ID: 3375546815 Enrollment ID: I20060822000608 |
| Provider Name | Elizabeth B Higdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194890004 PECOS PAC ID: 1456452994 Enrollment ID: I20070727000080 |
| Provider Name | William F Beauchamp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720079478 PECOS PAC ID: 1557454246 Enrollment ID: I20070911000954 |
| Provider Name | Leslie T Hayden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609894245 PECOS PAC ID: 2264518513 Enrollment ID: I20080326000760 |
| Provider Name | Bryan D Chastain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023019429 PECOS PAC ID: 4880683325 Enrollment ID: I20080424000747 |
| Provider Name | Katie E Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023046794 PECOS PAC ID: 7618983701 Enrollment ID: I20081029000862 |
| Provider Name | Bradley Dobner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427280221 PECOS PAC ID: 1759427693 Enrollment ID: I20091007000606 |
| Provider Name | David Sparks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033116488 PECOS PAC ID: 7911092432 Enrollment ID: I20100218000117 |
| Provider Name | Sean B Kaminsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528030541 PECOS PAC ID: 7113002742 Enrollment ID: I20100331000008 |
| Provider Name | Marc A Mickiewicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710074828 PECOS PAC ID: 3678601713 Enrollment ID: I20100511000052 |
| Provider Name | Roger N Passmore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861482259 PECOS PAC ID: 9234216789 Enrollment ID: I20100629000462 |
| Provider Name | William Bradford Brock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023195807 PECOS PAC ID: 2163546151 Enrollment ID: I20100827000165 |
| Provider Name | Jeffrey S Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669689949 PECOS PAC ID: 4880731017 Enrollment ID: I20100928000641 |
| Provider Name | George Anthony Dahir |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215922711 PECOS PAC ID: 4385823814 Enrollment ID: I20110128000892 |
| Provider Name | Shevonda T Sherrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790701936 PECOS PAC ID: 4688679418 Enrollment ID: I20110809000017 |
| Provider Name | Dawn L Bruni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730389743 PECOS PAC ID: 9234216136 Enrollment ID: I20120305000419 |
| Provider Name | Jonathan B Geach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881871283 PECOS PAC ID: 4284768193 Enrollment ID: I20120529000209 |
| Provider Name | Elizabeth A Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346509767 PECOS PAC ID: 8729242805 Enrollment ID: I20120621000506 |
| Provider Name | Thomas I Babcock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164579967 PECOS PAC ID: 8729156443 Enrollment ID: I20130723000177 |
| Provider Name | Matthew T Garner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306092960 PECOS PAC ID: 4183892623 Enrollment ID: I20140415002010 |
| Provider Name | Laura Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710306493 PECOS PAC ID: 5991924169 Enrollment ID: I20140920000204 |
| Provider Name | Savita Fanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750608113 PECOS PAC ID: 3971722083 Enrollment ID: I20140922001449 |
| Provider Name | Maxwell Emery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386043321 PECOS PAC ID: 3577783711 Enrollment ID: I20141009002502 |
| Provider Name | Alexandra Lynn Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265844732 PECOS PAC ID: 6709007537 Enrollment ID: I20141021001040 |
| Provider Name | Halle Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740610609 PECOS PAC ID: 5890011506 Enrollment ID: I20150223001726 |
| Provider Name | Edmund D Hadley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871859819 PECOS PAC ID: 7012233968 Enrollment ID: I20150311002244 |
| Provider Name | Melissa Ann Chittum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548652548 PECOS PAC ID: 1759699341 Enrollment ID: I20150930003406 |
| Provider Name | Jamie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235518697 PECOS PAC ID: 5799085643 Enrollment ID: I20151124002547 |
| Provider Name | Mary Beth Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013387349 PECOS PAC ID: 7315248473 Enrollment ID: I20151214001806 |
| Provider Name | Nicole Huffman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295108439 PECOS PAC ID: 2264735406 Enrollment ID: I20160122000724 |
| Provider Name | Margaret M Gilmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891152138 PECOS PAC ID: 5597061945 Enrollment ID: I20160310000808 |
| Provider Name | Casey Nicholas Moye |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750797593 PECOS PAC ID: 5799074134 Enrollment ID: I20160525000906 |
| Provider Name | Roxana E Araujo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992053367 PECOS PAC ID: 9335397389 Enrollment ID: I20160711001028 |
| Provider Name | Edward E Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518412105 PECOS PAC ID: 3779871017 Enrollment ID: I20161019001603 |
| Provider Name | Jennifer M Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780855395 PECOS PAC ID: 2769384775 Enrollment ID: I20161027001438 |
| Provider Name | Michael A Hubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508231911 PECOS PAC ID: 8224308259 Enrollment ID: I20170724002011 |
| Provider Name | Angela L Barham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538471164 PECOS PAC ID: 8628200755 Enrollment ID: I20170919002671 |
| Provider Name | Sravani V Mehta |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902127582 PECOS PAC ID: 5395967400 Enrollment ID: I20170921001656 |
| Provider Name | Jennifer C Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194246876 PECOS PAC ID: 2163782160 Enrollment ID: I20180213001965 |
| Provider Name | Ryan Edward Griesenauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346773413 PECOS PAC ID: 3678820511 Enrollment ID: I20180723003477 |
| Provider Name | Micah T Allison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639651540 PECOS PAC ID: 0345584843 Enrollment ID: I20181211001589 |
| Provider Name | Jennifer A Dubois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629562277 PECOS PAC ID: 8325386147 Enrollment ID: I20190220001693 |
| Provider Name | Anne A Sizemore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437624293 PECOS PAC ID: 6406195163 Enrollment ID: I20190225002781 |
| Provider Name | Gabriel G Punke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528536166 PECOS PAC ID: 2961742648 Enrollment ID: I20190315000259 |
| Provider Name | David Neblett |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720466741 PECOS PAC ID: 3375870355 Enrollment ID: I20190814000921 |
| Provider Name | Jessica D Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124687785 PECOS PAC ID: 7416286547 Enrollment ID: I20190913002873 |
| Provider Name | Josh Drew Lowry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134441298 PECOS PAC ID: 1951632124 Enrollment ID: I20191021000188 |
| Provider Name | Autumn Reynolds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407314693 PECOS PAC ID: 4183957434 Enrollment ID: I20200211001772 |
| Provider Name | Brett Koehn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669981080 PECOS PAC ID: 0042576266 Enrollment ID: I20200301000004 |
| Provider Name | Rachel Wingers Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255974556 PECOS PAC ID: 0446680011 Enrollment ID: I20200422001339 |
| Provider Name | Jeremy J Stojakovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487135281 PECOS PAC ID: 4183977960 Enrollment ID: I20200604001601 |
| Provider Name | Kaitlin Pardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205444668 PECOS PAC ID: 5698192474 Enrollment ID: I20200825000994 |
| Provider Name | Hailey M Grillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619581378 PECOS PAC ID: 1850711938 Enrollment ID: I20201009002408 |
| Provider Name | Meagan Lyn Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104433192 PECOS PAC ID: 5799105375 Enrollment ID: I20201020003736 |
| Provider Name | Alicia C Lippard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881231074 PECOS PAC ID: 7113337072 Enrollment ID: I20201104000240 |
| Provider Name | Taylor W Riley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700206422 PECOS PAC ID: 5698995371 Enrollment ID: I20201119000072 |
| Provider Name | Keaton Allmaras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659972479 PECOS PAC ID: 7315359759 Enrollment ID: I20201209001164 |
| Provider Name | Joshua Hartless |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316588320 PECOS PAC ID: 4688086846 Enrollment ID: I20201210003177 |
| Provider Name | Lauren Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538642178 PECOS PAC ID: 3971916016 Enrollment ID: I20210108000653 |
| Provider Name | Chariti Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487164901 PECOS PAC ID: 7113331638 Enrollment ID: I20210125001574 |
| Provider Name | Ashlan Snyder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003418567 PECOS PAC ID: 0749694123 Enrollment ID: I20210126001752 |
| Provider Name | Julie Simpkins Garner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770101339 PECOS PAC ID: 7012324791 Enrollment ID: I20210324002552 |
| Provider Name | Tiffany La Com |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740838580 PECOS PAC ID: 3274941778 Enrollment ID: I20210422001000 |
| Provider Name | Leanne M Reagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336810381 PECOS PAC ID: 2769871128 Enrollment ID: I20211105001658 |
| Provider Name | Melissa Malley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679636146 PECOS PAC ID: 7214028836 Enrollment ID: I20211130001177 |
| Provider Name | Cami Elizabeth Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497413074 PECOS PAC ID: 4587058318 Enrollment ID: I20220222000068 |
| Provider Name | Holland Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396491817 PECOS PAC ID: 6608262753 Enrollment ID: I20220330000517 |
| Provider Name | Calvin Reed Fesler |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1285169136 PECOS PAC ID: 0840679379 Enrollment ID: I20220614000499 |
| Provider Name | Kyndall Petry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134875842 PECOS PAC ID: 7113301623 Enrollment ID: I20220901001885 |
| Provider Name | Kennedi Louth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427703594 PECOS PAC ID: 6507240801 Enrollment ID: I20220906002530 |
| Provider Name | Sarah Elizabeth Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245503366 PECOS PAC ID: 5193101814 Enrollment ID: I20221004002530 |
| Provider Name | Maddison Blair Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053873083 PECOS PAC ID: 3476920612 Enrollment ID: I20221101002288 |
| Provider Name | Nashay Clemetson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063755718 PECOS PAC ID: 2961720032 Enrollment ID: I20221112000125 |
| Provider Name | Robert Victor Peck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780350223 PECOS PAC ID: 9436554797 Enrollment ID: I20230103001529 |
| Provider Name | Graylin Clare Benusches |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821722968 PECOS PAC ID: 7012387277 Enrollment ID: I20230104000792 |
| Provider Name | Margaux Guysinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093486797 PECOS PAC ID: 7214334465 Enrollment ID: I20230510002750 |
| Provider Name | Stuart Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134540735 PECOS PAC ID: 2365730637 Enrollment ID: I20230530002053 |
| Provider Name | Caroline Berry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770284846 PECOS PAC ID: 8022475268 Enrollment ID: I20230605000421 |
| Provider Name | Amanda Dee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295479350 PECOS PAC ID: 0547648115 Enrollment ID: I20230711002787 |
| Provider Name | Qumara Hill-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871906024 PECOS PAC ID: 5597987594 Enrollment ID: I20230824003689 |
| Provider Name | Fernando Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669785770 PECOS PAC ID: 0941435986 Enrollment ID: I20230831003908 |
| Provider Name | Mary Elizabeth Butts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982260758 PECOS PAC ID: 0547624074 Enrollment ID: I20230915001962 |
| Provider Name | Lisa N Hines |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588630016 PECOS PAC ID: 7618321167 Enrollment ID: I20231002003090 |
| Provider Name | Amy K Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881478873 PECOS PAC ID: 5799130928 Enrollment ID: I20231009001673 |
| Provider Name | Ethan Cole Adams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174093090 PECOS PAC ID: 7315287083 Enrollment ID: I20231012000828 |
| Provider Name | Christina Schrack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861891566 PECOS PAC ID: 5092024711 Enrollment ID: I20231031001441 |
| Provider Name | Melanie Lieblang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508392952 PECOS PAC ID: 2365714995 Enrollment ID: I20231103002933 |
| Provider Name | Katherine J Flaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619458221 PECOS PAC ID: 5698008316 Enrollment ID: I20231110000909 |
| Provider Name | Shishir Kumar Khetan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861497372 PECOS PAC ID: 9335199017 Enrollment ID: I20231113003277 |
| Provider Name | Johnie Staton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114665528 PECOS PAC ID: 5597144493 Enrollment ID: I20240530001057 |
| Provider Name | Belyin Carolina Arevalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629850268 PECOS PAC ID: 4183161102 Enrollment ID: I20240807003126 |
| Provider Name | Carl W Mccord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104836022 PECOS PAC ID: 1254420995 Enrollment ID: I20241011000512 |
| Provider Name | Gautam Khandelwal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962445569 PECOS PAC ID: 1153394234 Enrollment ID: I20241029000636 |
| Provider Name | Joy Nancy Owings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871330423 PECOS PAC ID: 1759814668 Enrollment ID: I20241031000328 |
| Provider Name | Jacqueline J Carter Gustafson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023209632 PECOS PAC ID: 1456522499 Enrollment ID: I20241031002403 |
| Provider Name | Jeremy Jenkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023667151 PECOS PAC ID: 1759612187 Enrollment ID: I20241106003685 |
| Provider Name | Craig Philhower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285085076 PECOS PAC ID: 5496038416 Enrollment ID: I20241118002294 |
| Provider Name | Rebecca P Spofford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972859858 PECOS PAC ID: 3577710490 Enrollment ID: I20241122001718 |
| Provider Name | Breanna R O'donnell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801290515 PECOS PAC ID: 7618290552 Enrollment ID: I20241211003354 |
| Provider Name | Jada N Brooks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083477574 PECOS PAC ID: 9234666181 Enrollment ID: I20241217002506 |
| Provider Name | Kendall S Baumrucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366139636 PECOS PAC ID: 4284164195 Enrollment ID: I20250207000501 |
| Provider Name | Jason M Denton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093270951 PECOS PAC ID: 7618216904 Enrollment ID: I20250219000803 |
| Provider Name | Riley Lawyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619658952 PECOS PAC ID: 3678093481 Enrollment ID: I20250224003317 |
| Provider Name | Amy R Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245851955 PECOS PAC ID: 6901221647 Enrollment ID: I20250304001918 |
| Provider Name | Abigail Nicole Howard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114762960 PECOS PAC ID: 7911429170 Enrollment ID: I20250317002998 |
| Provider Name | Marla Renee Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497513303 PECOS PAC ID: 3779009808 Enrollment ID: I20250501000443 |
| Provider Name | Lucky Maze |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639896624 PECOS PAC ID: 5092246447 Enrollment ID: I20250522000946 |
Tennessee Vitality Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 82 White Bridge Pike, Nashville, TN 37205 Phone: 615-953-7406 | |
Mid Tn Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3413 Nolensville Pike, Nashville, TN 37211 Phone: 615-569-4067 | |
Tarria O. Mcneal Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 12th Ave S, Suite 5, Nashville, TN 37203 Phone: 615-291-6700 | |
Mendrix Medical Associates Of Tennessee Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3348 William Bailey Dr, Nashville, TN 37207 Phone: 213-737-3301 | |
H. Douglas Holliday Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4230 Harding Rd, Ste. 530 Heart Institute, Nashville, TN 37205 Phone: 615-297-6006 Fax: 615-298-6778 | |
United Neighborhood Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 12th Ave S, Nashville, TN 37203 Phone: 615-269-3461 Fax: 615-383-1950 | |
Ehg Gi Md, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1a Burton Hills Blvd, Nashville, TN 37215 Phone: 615-263-5579 Fax: 615-565-9543 |