| Smoky Mountain Primary Care | |
|
1620 E Lamar Alexander Pkwy Maryville TN 37804-6205 | |
| (865) 405-1740 | |
| Not Available |
| Full Name | Smoky Mountain Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1620 E Lamar Alexander Pkwy, Maryville, Tennessee |
| Authorized Official Name and Position | Kimberly L Chambers (OWNER) |
| Authorized Official Contact | 8564051740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smoky Mountain Primary Care 1620 E Lamar Alexander Pkwy Maryville TN 37804-6205 Ph: (865) 405-1740 | Smoky Mountain Primary Care 1620 E Lamar Alexander Pkwy Maryville TN 37804-6205 Ph: (865) 405-1740 |
| NPI Number | 1932602448 |
|---|---|
| Provider Enumeration Date | 03/10/2018 |
| Last Update Date | 03/10/2018 |
| Medicare PECOS PAC ID | 6002178050 |
|---|---|
| Medicare Enrollment ID | O20180403000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932602448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 16537 (Tennessee) | Primary |
| Provider Name | Whitaker M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003827205 PECOS PAC ID: 8527075647 Enrollment ID: I20100318000245 |
| Provider Name | Kimberly Lynn Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982977294 PECOS PAC ID: 6002078995 Enrollment ID: I20120511000087 |
| Provider Name | Kara White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114529492 PECOS PAC ID: 3173936473 Enrollment ID: I20210105002974 |
| Provider Name | Tamara Zelch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588273098 PECOS PAC ID: 7810304870 Enrollment ID: I20210318002853 |
| Provider Name | Kayla C Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205557964 PECOS PAC ID: 2769852698 Enrollment ID: I20230110001477 |
Michael Wall, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 362 High St, Maryville, TN 37804 Phone: 865-413-1589 Fax: 865-205-9475 | |
Wound Care Solutions Of Tennessee, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Washington St, Maryville, TN 37804 Phone: 770-714-9292 | |
Independent Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2324 Market Place Dr, Maryville, TN 37801 Phone: 865-643-8681 Fax: 865-643-8682 | |
Premise Health Of Tennessee Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Robert C Jackson Dr, Maryville, TN 37801 Phone: 865-724-2334 Fax: 865-724-2344 | |
Blount Gastroenterology Assoc Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1706 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-983-0073 Fax: 865-984-1731 | |
Summit Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Station Dr, Maryville, TN 37804 Phone: 865-982-7101 Fax: 865-681-6291 | |
Appalachian Development Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 129 Montgomery Ln, Maryville, TN 37803 Phone: 865-681-1224 Fax: 865-681-5185 |