| Seaton Family Practice | |
|
16532 Us Highway 64 Somerville TN 38068-6185 | |
| (901) 800-7158 | |
| (901) 813-8793 |
| Full Name | Seaton Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 16532 Us Highway 64, Somerville, Tennessee |
| Authorized Official Name and Position | David Lee Seaton (PHYSICIAN) |
| Authorized Official Contact | 9018138138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaton Family Practice 18475 Highway 194 Somerville TN 38068-5715 Ph: (901) 800-7158 | Seaton Family Practice 16532 Us Highway 64 Somerville TN 38068-6185 Ph: (901) 800-7158 |
| NPI Number | 1609353192 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 07/26/2018 |
| Medicare PECOS PAC ID | 2567998933 |
|---|---|
| Medicare Enrollment ID | O20241209002349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609353192 | NPI | - | NPPES |
| 1487748745 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD0000027421 (Tennessee) | Primary |
| Provider Name | David L Seaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487748745 PECOS PAC ID: 3173583812 Enrollment ID: I20041015000940 |
| Provider Name | Kaleb Evan Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609599430 PECOS PAC ID: 2466838255 Enrollment ID: I20220930002958 |
| Provider Name | Jessica Nicole Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790490118 PECOS PAC ID: 8729433784 Enrollment ID: I20231011000410 |
| Provider Name | Kristy L Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114770971 PECOS PAC ID: 9436691086 Enrollment ID: I20240611001011 |
| Provider Name | Anna Petrie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902793730 PECOS PAC ID: 9830670116 Enrollment ID: I20260225000806 |
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