| Speight Family Medical, Llc | |
|
76 Tabb Dr Suite E Munford TN 38058-8611 | |
| (901) 840-2102 | |
| (901) 840-1979 |
| Full Name | Speight Family Medical, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 76 Tabb Dr, Munford, Tennessee |
| Authorized Official Name and Position | Deanna Kimberlin Speight (OWNER/FNP) |
| Authorized Official Contact | 9018402102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Speight Family Medical, Llc 76 Tabb Dr Suite E Munford TN 38058-8611 Ph: (901) 840-2102 | Speight Family Medical, Llc 76 Tabb Dr Suite E Munford TN 38058-8611 Ph: (901) 840-2102 |
| NPI Number | 1083895023 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 03/06/2017 |
| Medicare PECOS PAC ID | 8224108048 |
|---|---|
| Medicare Enrollment ID | O20080605000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083895023 | NPI | - | NPPES |
| 1509248 | Medicaid | TN | |
| 1770531766 | Other | TN | NPI |
| 5442117 | Medicaid | TN | |
| 1679630891 | Other | TN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 6874 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 6874 (Tennessee) | Secondary |
| Provider Name | Deanna K Speight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679630891 PECOS PAC ID: 9739088303 Enrollment ID: I20040102000324 |
| Provider Name | Peyton Mckenzie Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740963677 PECOS PAC ID: 3971951013 Enrollment ID: I20231129002635 |
| Provider Name | Lisa Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861200305 PECOS PAC ID: 8325578891 Enrollment ID: I20250213000466 |
| Provider Name | Maegen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467250225 PECOS PAC ID: 1456874890 Enrollment ID: I20250326003394 |
Covington Primary Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 Munford Ave, Munford, TN 38058 Phone: 901-840-3540 Fax: 901-840-3543 | |
May Medical Group P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Doctors Dr, Suite 700, Munford, TN 38058 Phone: 901-837-7200 Fax: 901-837-4769 |