| Sdg Primary and Immediate Care LLC | |
|
201 S Front St Halls TN 38040-1547 | |
| (731) 836-5617 | |
| Not Available |
| Full Name | Sdg Primary and Immediate Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 S Front St, Halls, Tennessee |
| Authorized Official Name and Position | Jeffrey S Hampton (PRESIDENT) |
| Authorized Official Contact | 7316761840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sdg Primary and Immediate Care LLC 201 S Front St Halls TN 38040-1547 Ph: (731) 836-5617 | Sdg Primary and Immediate Care LLC 201 S Front St Halls TN 38040-1547 Ph: (731) 836-5617 |
| NPI Number | 1225437585 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 2264758689 |
|---|---|
| Medicare Enrollment ID | O20150303000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225437585 | NPI | - | NPPES |
| Q007486 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (NU) | Secondary |
| Provider Name | Billy G Robbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932193547 PECOS PAC ID: 5193637767 Enrollment ID: I20031103000255 |
| Provider Name | Jeffrey S Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275702672 PECOS PAC ID: 4486733607 Enrollment ID: I20080429000883 |
| 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 | Stephanie M Sells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770908998 PECOS PAC ID: 1557584422 Enrollment ID: I20140521001689 |
| Provider Name | Alison Knack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700423365 PECOS PAC ID: 9234551532 Enrollment ID: I20200615001384 |
| Provider Name | Breianne M Chisholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174384440 PECOS PAC ID: 4789027350 Enrollment ID: I20240211000047 |
| Provider Name | Gary Wayne Osborne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891880209 PECOS PAC ID: 8325036106 Enrollment ID: I20240215004401 |
West Tennessee Medical Group Primary Care Halls Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 S Church St, Halls, TN 38040 Phone: 731-836-9303 Fax: 731-836-9603 |
Care Rite, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 E Main St, Halls, TN 38040 Phone: 731-836-9700 Fax: 731-286-1939 |
Halls Family Walk-in Clinic, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 W Tigrett St, Apt A, Halls, TN 38040 Phone: 731-836-9444 Fax: 731-836-9443 |