| Robertson County Physical Medicine Llc | |
|
2308d Memorial Blvd Springfield TN 37172-3929 | |
| (615) 382-8144 | |
| (615) 382-8145 |
| Full Name | Robertson County Physical Medicine Llc |
|---|---|
| Speciality | General Practice |
| Location | 2308d Memorial Blvd, Springfield, Tennessee |
| Authorized Official Name and Position | Chris Jackson (OWNER) |
| Authorized Official Contact | 6153828144 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robertson County Physical Medicine Llc 2308d Memorial Blvd Springfield TN 37172-3929 Ph: (615) 382-8144 | Robertson County Physical Medicine Llc 2308d Memorial Blvd Springfield TN 37172-3929 Ph: (615) 382-8144 |
| NPI Number | 1790045060 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 06/11/2012 |
| Medicare PECOS PAC ID | 0244496925 |
|---|---|
| Medicare Enrollment ID | O20120724000977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790045060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD0000027058 (Tennessee) | Primary |
| Provider Name | Wayne E Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821081472 PECOS PAC ID: 4183523608 Enrollment ID: I20040105000288 |
| Provider Name | Chris E Jackson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336197318 PECOS PAC ID: 0446152482 Enrollment ID: I20090106000704 |
| Provider Name | Tracy Fluty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578826111 PECOS PAC ID: 9133385818 Enrollment ID: I20120724001001 |
| Provider Name | Jessica Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700143047 PECOS PAC ID: 5799910618 Enrollment ID: I20131031001199 |
| Provider Name | Briana Carroll Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104456052 PECOS PAC ID: 3678995388 Enrollment ID: I20200625003390 |
Crossroads Urgent Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2006 Memorial Blvd Ste 101, Springfield, TN 37172 Phone: 615-380-8411 Fax: 615-380-8420 | |
Forest Park Ventures Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3438 Forest Park Rd, Springfield, TN 37172 Phone: 615-708-7546 | |
Northcrest Physician Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 417 Northcrest Dr, 430 Northcrest Dr, Springfield, TN 37172 Phone: 615-382-5710 Fax: 615-382-5776 | |
Medical Necessities Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 5th Ave E, Springfield, TN 37172 Phone: 615-384-0569 | |
Millbrook Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Hill St, Springfield, TN 37172 Phone: 615-384-5554 Fax: 615-384-5534 | |
Vip Midsouth, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 426 22nd Ave E, Springfield, TN 37172 Phone: 615-384-0600 | |
Jax5, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2308d Memorial Blvd, Springfield, TN 37172 Phone: 615-382-8144 Fax: 615-382-8145 |