| Reelfoot Family Walk-in Clinic | |
|
1954 St John Ave Suite 1 Dyersburg TN 38024 | |
| (731) 285-6110 | |
| (731) 285-6964 |
| Full Name | Reelfoot Family Walk-in Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1954 St John Ave, Dyersburg, Tennessee |
| Authorized Official Name and Position | Sheryl Lyn Wright (CEO / PRESIDENT) |
| Authorized Official Contact | 7312856110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reelfoot Family Walk-in Clinic 1954 St John Ave Suite 1 Dyersburg TN 38024 Ph: (731) 285-6110 | Reelfoot Family Walk-in Clinic 1954 St John Ave Suite 1 Dyersburg TN 38024 Ph: (731) 285-6110 |
| NPI Number | 1174712780 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 03/16/2017 |
| Medicare PECOS PAC ID | 5991793879 |
|---|---|
| Medicare Enrollment ID | O20040501000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174712780 | NPI | - | NPPES |
| 37424857 | Medicaid | TN | |
| 448913 | Medicaid | TN | |
| 448940 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 111703 (Tennessee) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Sheryl L Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942249677 PECOS PAC ID: 7517850068 Enrollment ID: I20040206000716 |
| Provider Name | Lisa D Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932101839 PECOS PAC ID: 7810973567 Enrollment ID: I20040624001671 |
| Provider Name | Tammy L Javellana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013112077 PECOS PAC ID: 1052389863 Enrollment ID: I20040920000991 |
| Provider Name | Paul J Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871527010 PECOS PAC ID: 0749229839 Enrollment ID: I20050428000878 |
| Provider Name | Jan A Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205832920 PECOS PAC ID: 4880600584 Enrollment ID: I20060306000207 |
| Provider Name | Mary Elizabeth Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790735736 PECOS PAC ID: 1456368257 Enrollment ID: I20060321000042 |
| Provider Name | Sandra J Fowlkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437201860 PECOS PAC ID: 6901997022 Enrollment ID: I20070803000351 |
| Provider Name | Jennifer E Mcfarland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912114281 PECOS PAC ID: 2365530508 Enrollment ID: I20071121000334 |
| Provider Name | Tracey G Kizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124027560 PECOS PAC ID: 7315023371 Enrollment ID: I20080401000116 |
| Provider Name | Samuel Bradberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588644397 PECOS PAC ID: 7911042528 Enrollment ID: I20100308000443 |
| Provider Name | Jonathan Edgar Searcy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710291828 PECOS PAC ID: 9638331440 Enrollment ID: I20120424000125 |
| Provider Name | James Tetleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891035044 PECOS PAC ID: 5092952333 Enrollment ID: I20130506000363 |
| Provider Name | Brandon H. Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790175867 PECOS PAC ID: 9436478328 Enrollment ID: I20150427000958 |
| Provider Name | Brandi Nicole Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437540200 PECOS PAC ID: 0840519443 Enrollment ID: I20150504000598 |
| Provider Name | Christina D Landowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083001606 PECOS PAC ID: 8628399243 Enrollment ID: I20150609000292 |
| Provider Name | Kelly S Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194098145 PECOS PAC ID: 9638316086 Enrollment ID: I20150818006137 |
| Provider Name | Monica Whorton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538555834 PECOS PAC ID: 5698080620 Enrollment ID: I20150819008160 |
| Provider Name | Jami Ivey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083797211 PECOS PAC ID: 8325357650 Enrollment ID: I20151027001901 |
| Provider Name | Dustin Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174934855 PECOS PAC ID: 4284852286 Enrollment ID: I20160722001118 |
| Provider Name | Theresa T. Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558451773 PECOS PAC ID: 2365723749 Enrollment ID: I20161222000782 |
| Provider Name | Kara Vinyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255846689 PECOS PAC ID: 8921355769 Enrollment ID: I20180724004203 |
| Provider Name | Rita Lynn Hollingsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679954069 PECOS PAC ID: 5496064354 Enrollment ID: I20181213003057 |
| Provider Name | Stephanie A Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285199802 PECOS PAC ID: 6103169370 Enrollment ID: I20190510001720 |
| Provider Name | Ashley Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700343969 PECOS PAC ID: 9032442504 Enrollment ID: I20190615000087 |
| Provider Name | Angela C Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902451446 PECOS PAC ID: 1759613490 Enrollment ID: I20191029002451 |
| Provider Name | Alison Knack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700423365 PECOS PAC ID: 9234551532 Enrollment ID: I20200615001384 |
| Provider Name | Alexandra N Buckland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871108811 PECOS PAC ID: 4486064698 Enrollment ID: I20201029000583 |
| Provider Name | Luis M Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649337635 PECOS PAC ID: 1557775103 Enrollment ID: I20210122001462 |
| Provider Name | Katie May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558954172 PECOS PAC ID: 3476968595 Enrollment ID: I20210222003047 |
| Provider Name | Clay M Marvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992397657 PECOS PAC ID: 6204242894 Enrollment ID: I20210305000853 |
| Provider Name | Kimberlie A Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013593383 PECOS PAC ID: 1052710647 Enrollment ID: I20210602001290 |
| Provider Name | Tina Marie Battles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295328342 PECOS PAC ID: 6002210598 Enrollment ID: I20210805000803 |
| Provider Name | Elizabeth Roberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205557261 PECOS PAC ID: 2466838321 Enrollment ID: I20220929001364 |
| Provider Name | Karyn Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194814921 PECOS PAC ID: 9931100906 Enrollment ID: I20230104000056 |
| Provider Name | Amanda Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770619074 PECOS PAC ID: 5698146009 Enrollment ID: I20230123002338 |
| Provider Name | Mallory Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033816087 PECOS PAC ID: 4981078482 Enrollment ID: I20230324000432 |
| Provider Name | Amanda Hayes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770619074 PECOS PAC ID: 5698146009 Enrollment ID: I20240117002513 |
| Provider Name | Madison Switcher Northcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548025513 PECOS PAC ID: 7618313461 Enrollment ID: I20240314003042 |
Hometown Urgent Care Of Dyersburg Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2550 Parr Ave, Dyersburg, TN 38024 Phone: 731-325-5678 | |
Mid-south Convenient Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024 Phone: 731-286-1900 Fax: 731-286-1900 | |
Grace Family Practice Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1716 Parr Ave Ste D, Dyersburg, TN 38024 Phone: 731-288-0911 Fax: 731-288-0065 | |
Dyersburg Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Tickle St, Dyersburg, TN 38024 Phone: 731-288-7250 Fax: 731-288-7258 | |
Bcp 1, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2490 Parr Ave Ste 9, Dyersburg, TN 38024 Phone: 731-285-0844 | |
Dyersburg Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Tickle St, Dyersburg, TN 38024 Phone: 731-287-2400 Fax: 731-285-9545 | |
Digestive Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1067 Vendall Rd, Dyersburg, TN 38024 Phone: 731-285-5133 Fax: 731-285-9921 |