| State Of Franklin Healthcare Associates Pllc | |
|
2528 Wesley St Suite 2 Johnson City TN 37601-1724 | |
| (423) 794-2430 | |
| (423) 283-9719 |
| Full Name | State Of Franklin Healthcare Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2528 Wesley St, Johnson City, Tennessee |
| Authorized Official Name and Position | Amanda Clear (DIRECTOR OF QUALITY) |
| Authorized Official Contact | 4237942450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Franklin Healthcare Associates Pllc 2528 Wesley St Suite 2 Johnson City TN 37601-1724 Ph: (423) 794-2430 | State Of Franklin Healthcare Associates Pllc 2528 Wesley St Suite 2 Johnson City TN 37601-1724 Ph: (423) 794-2430 |
| NPI Number | 1063459410 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 11/07/2020 |
| Medicare PECOS PAC ID | 2466346291 |
|---|---|
| Medicare Enrollment ID | O20040211001101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063459410 | NPI | - | NPPES |
| Provider Name | Claes Svendsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801836572 PECOS PAC ID: 1759277361 Enrollment ID: I20040223000241 |
| Provider Name | Ronald W Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063416576 PECOS PAC ID: 9133021389 Enrollment ID: I20040310001092 |
| Provider Name | Ellen L Nave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417911348 PECOS PAC ID: 0345236683 Enrollment ID: I20040422000798 |
| Provider Name | Christina R Hutchins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245235423 PECOS PAC ID: 5193712784 Enrollment ID: I20040427000364 |
| Provider Name | Raymond E Kohne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366447542 PECOS PAC ID: 6002897709 Enrollment ID: I20040527001266 |
| Provider Name | James W Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275531212 PECOS PAC ID: 8527045244 Enrollment ID: I20040701000283 |
| Provider Name | Melissa L Grissinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821099151 PECOS PAC ID: 1759369283 Enrollment ID: I20040712000477 |
| Provider Name | Samuel V Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386649119 PECOS PAC ID: 3476532110 Enrollment ID: I20040716000373 |
| Provider Name | Amy L Marlow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538162359 PECOS PAC ID: 6002889474 Enrollment ID: I20040813001040 |
| Provider Name | Lee A Colyar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386626166 PECOS PAC ID: 3375503626 Enrollment ID: I20041013000327 |
| Provider Name | Gwendolyn T Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275548851 PECOS PAC ID: 6103881412 Enrollment ID: I20041129000705 |
| Provider Name | Wesley V Eastridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457313439 PECOS PAC ID: 5799689873 Enrollment ID: I20050103000884 |
| Provider Name | Bruce S Vincent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538110309 PECOS PAC ID: 8224088711 Enrollment ID: I20050122000097 |
| Provider Name | Andy Delwadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629089784 PECOS PAC ID: 5496707598 Enrollment ID: I20050217000138 |
| Provider Name | Erin E Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528037660 PECOS PAC ID: 3678526068 Enrollment ID: I20050225000187 |
| Provider Name | Kent S Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841250479 PECOS PAC ID: 6800841339 Enrollment ID: I20050317000780 |
| Provider Name | Brian K Way |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538123476 PECOS PAC ID: 4880631167 Enrollment ID: I20050408000809 |
| Provider Name | Nicole M Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841293560 PECOS PAC ID: 3971543075 Enrollment ID: I20050509000454 |
| Provider Name | Amy L Proffitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417958778 PECOS PAC ID: 6002858958 Enrollment ID: I20050601000640 |
| Provider Name | Jonathan D Dixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962430496 PECOS PAC ID: 3870538606 Enrollment ID: I20050622001068 |
| Provider Name | Tammy L Kitchens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154362143 PECOS PAC ID: 9234168527 Enrollment ID: I20050808000187 |
| Provider Name | Stephanie C Manginelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225010010 PECOS PAC ID: 3577523737 Enrollment ID: I20051116000113 |
| Provider Name | Phillip J Riley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043284391 PECOS PAC ID: 7810919735 Enrollment ID: I20051220000578 |
| Provider Name | James T Dykes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336197805 PECOS PAC ID: 3870502826 Enrollment ID: I20060606000096 |
| Provider Name | Vicki G Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467459990 PECOS PAC ID: 5991717738 Enrollment ID: I20060619000297 |
| Provider Name | Michelle S Bullman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376501338 PECOS PAC ID: 0345253613 Enrollment ID: I20060803000424 |
| Provider Name | Michael Z Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023067378 PECOS PAC ID: 4082617014 Enrollment ID: I20060814000074 |
| Provider Name | Stanley M Hodges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609851351 PECOS PAC ID: 8628074234 Enrollment ID: I20061004000400 |
| Provider Name | Darlene E Fogg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396753471 PECOS PAC ID: 0143226100 Enrollment ID: I20061013000516 |
| Provider Name | Guy W Robins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295799120 PECOS PAC ID: 6901838820 Enrollment ID: I20070202000427 |
| Provider Name | John R Hereford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619931557 PECOS PAC ID: 3072615178 Enrollment ID: I20070220000522 |
| Provider Name | Ronald L Blackmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770547606 PECOS PAC ID: 9234232463 Enrollment ID: I20070308000565 |
| Provider Name | Hadi E El Bazouni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477632750 PECOS PAC ID: 3274637509 Enrollment ID: I20070327000272 |
| Provider Name | Saprina F Fender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861555815 PECOS PAC ID: 6507962198 Enrollment ID: I20070427000175 |
| Provider Name | Chad A Drey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518096742 PECOS PAC ID: 3870691348 Enrollment ID: I20070606000583 |
| Provider Name | Kimberly A Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811918675 PECOS PAC ID: 5597865527 Enrollment ID: I20070705000334 |
| Provider Name | Leah R Higginbotham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023227584 PECOS PAC ID: 0446351779 Enrollment ID: I20070731000038 |
| Provider Name | Joseph A Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962525535 PECOS PAC ID: 1951492834 Enrollment ID: I20070807000383 |
| Provider Name | Bryan J Prudhomme |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528270816 PECOS PAC ID: 9436241593 Enrollment ID: I20070817000706 |
| Provider Name | Elizabeth A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962524017 PECOS PAC ID: 8628160652 Enrollment ID: I20070822001305 |
| Provider Name | Heather N Hambrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780705434 PECOS PAC ID: 6800980384 Enrollment ID: I20070913000848 |
| Provider Name | Aaron K Metcalf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164582862 PECOS PAC ID: 2860588167 Enrollment ID: I20071018000110 |
| Provider Name | Andrew Townsend |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740207760 PECOS PAC ID: 6305921552 Enrollment ID: I20080312000073 |
| Provider Name | Michael P Kauzlarich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477539542 PECOS PAC ID: 0042380073 Enrollment ID: I20080603000581 |
| Provider Name | Jeremy N Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124043120 PECOS PAC ID: 1850337197 Enrollment ID: I20080604000610 |
| Provider Name | Cathleen C Suto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013902527 PECOS PAC ID: 8224103692 Enrollment ID: I20080819000847 |
| Provider Name | Sergio A Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417138439 PECOS PAC ID: 7810055639 Enrollment ID: I20081023000436 |
| Provider Name | Thomas W Gill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700881836 PECOS PAC ID: 2466534839 Enrollment ID: I20081117000258 |
| Provider Name | Connie R Stoots |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760675474 PECOS PAC ID: 1153487970 Enrollment ID: I20090330000232 |
| Provider Name | James L Baker |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477530301 PECOS PAC ID: 3870577943 Enrollment ID: I20090513000649 |
| Provider Name | Kelly W Ryder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083866651 PECOS PAC ID: 7719038512 Enrollment ID: I20090707000296 |
| Provider Name | Candi C Overholt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760686711 PECOS PAC ID: 5294887535 Enrollment ID: I20090716000483 |
| Provider Name | Courtney Cummings Hodshon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689858532 PECOS PAC ID: 7315025590 Enrollment ID: I20090803000712 |
| Provider Name | Anita Harker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417146374 PECOS PAC ID: 6002969003 Enrollment ID: I20090807000351 |
| Provider Name | Avinash G Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487858692 PECOS PAC ID: 1658431051 Enrollment ID: I20090909000293 |
| Provider Name | Beth A Mccurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336321066 PECOS PAC ID: 1951440445 Enrollment ID: I20091123000034 |
| Provider Name | Kevin D Sweet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629073846 PECOS PAC ID: 1759421688 Enrollment ID: I20091228000150 |
| Provider Name | James C Hope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912138124 PECOS PAC ID: 1254472202 Enrollment ID: I20100113000046 |
| Provider Name | Jennifer E Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326270570 PECOS PAC ID: 8426191438 Enrollment ID: I20100129000444 |
| Provider Name | Keith R Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396740957 PECOS PAC ID: 8123161064 Enrollment ID: I20100201000576 |
| Provider Name | Grover E May |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497750657 PECOS PAC ID: 5496898207 Enrollment ID: I20100202000588 |
| Provider Name | Mary J Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164427290 PECOS PAC ID: 1759424419 Enrollment ID: I20100203000135 |
| Provider Name | Sara Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861497323 PECOS PAC ID: 5294878583 Enrollment ID: I20100209000454 |
| Provider Name | Richard L Rolen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538165451 PECOS PAC ID: 9739222969 Enrollment ID: I20100210000076 |
| Provider Name | Mark A Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033114988 PECOS PAC ID: 7719020940 Enrollment ID: I20100210000097 |
| Provider Name | David F Moulton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407851603 PECOS PAC ID: 5496758161 Enrollment ID: I20100210000128 |
| Provider Name | Matthew G Cary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306841440 PECOS PAC ID: 4385787514 Enrollment ID: I20100210000147 |
| Provider Name | Melissa O Leake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740285915 PECOS PAC ID: 8820131063 Enrollment ID: I20100210000163 |
| Provider Name | Frank P Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780689562 PECOS PAC ID: 1759425531 Enrollment ID: I20100217000294 |
| Provider Name | Jason T Hatjioannou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740285923 PECOS PAC ID: 4183768989 Enrollment ID: I20100217000422 |
| Provider Name | Angela S Merrifield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124025408 PECOS PAC ID: 9133263932 Enrollment ID: I20100217000480 |
| Provider Name | Jill R Talley-horne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477558690 PECOS PAC ID: 5193869949 Enrollment ID: I20100218000089 |
| Provider Name | Paul E Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326043167 PECOS PAC ID: 2961586110 Enrollment ID: I20100218000152 |
| Provider Name | Kevin D Misischia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356391098 PECOS PAC ID: 4789767807 Enrollment ID: I20100303000056 |
| Provider Name | Christopher B Hemphill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053316232 PECOS PAC ID: 4183706559 Enrollment ID: I20100303000541 |
| Provider Name | Frank A Forbush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538164660 PECOS PAC ID: 2365587284 Enrollment ID: I20100303000753 |
| Provider Name | Eric Harman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588676456 PECOS PAC ID: 7315020435 Enrollment ID: I20100318000234 |
| Provider Name | Jill W Wireman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689679987 PECOS PAC ID: 2365524733 Enrollment ID: I20100616000330 |
| Provider Name | Christopher R Ledes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841295011 PECOS PAC ID: 8022148113 Enrollment ID: I20100616000714 |
| Provider Name | Margaret F Farmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336144468 PECOS PAC ID: 2062543838 Enrollment ID: I20100623000810 |
| Provider Name | Paul A Bischoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285639328 PECOS PAC ID: 1951432723 Enrollment ID: I20100623000835 |
| Provider Name | Michael J Grosserode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710982848 PECOS PAC ID: 6204967078 Enrollment ID: I20100623000861 |
| Provider Name | April D Lowery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821270471 PECOS PAC ID: 7416088943 Enrollment ID: I20100628000732 |
| Provider Name | Tasha M Cornett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982926069 PECOS PAC ID: 9335271378 Enrollment ID: I20100709000680 |
| Provider Name | Rachel Monderer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568467728 PECOS PAC ID: 8123150174 Enrollment ID: I20100709000725 |
| Provider Name | Priscilla F Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902049497 PECOS PAC ID: 2860524774 Enrollment ID: I20100713000040 |
| Provider Name | Jott C Hallman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447389671 PECOS PAC ID: 2668504572 Enrollment ID: I20100713000066 |
| Provider Name | Gretchen H Bowling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831382449 PECOS PAC ID: 2567595010 Enrollment ID: I20100804000328 |
| Provider Name | Bryan K Nerren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629073861 PECOS PAC ID: 7416082946 Enrollment ID: I20100804000671 |
| Provider Name | Randy W Hoover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255336434 PECOS PAC ID: 7012041619 Enrollment ID: I20100818000714 |
| Provider Name | Pamela Trantham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669795399 PECOS PAC ID: 4981738382 Enrollment ID: I20100820000749 |
| Provider Name | Gregory L Demotts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891708111 PECOS PAC ID: 5799889747 Enrollment ID: I20100924000102 |
| Provider Name | Richard L Brandon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265443436 PECOS PAC ID: 1052494176 Enrollment ID: I20100927000967 |
| Provider Name | Vincent G Becker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184682494 PECOS PAC ID: 8325120496 Enrollment ID: I20101007001022 |
| Provider Name | Pitchar Theerathorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548223084 PECOS PAC ID: 9830086396 Enrollment ID: I20101018000334 |
| Provider Name | Arthur R Austin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073590584 PECOS PAC ID: 9830135979 Enrollment ID: I20101109000905 |
| Provider Name | Mary J Lizotte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902112691 PECOS PAC ID: 4385839471 Enrollment ID: I20101115001080 |
| Provider Name | Gerald F Falasca |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891888434 PECOS PAC ID: 4789613910 Enrollment ID: I20110131000507 |
| Provider Name | Melissa A White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114220472 PECOS PAC ID: 1951582170 Enrollment ID: I20110222000326 |
| Provider Name | Abigail L Abram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770880858 PECOS PAC ID: 8628251428 Enrollment ID: I20110331000153 |
| Provider Name | Jessica B Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679871842 PECOS PAC ID: 0345424214 Enrollment ID: I20110418000852 |
| Provider Name | April D Ollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811294341 PECOS PAC ID: 5395921001 Enrollment ID: I20110513000468 |
| Provider Name | Carole White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609175512 PECOS PAC ID: 3577740620 Enrollment ID: I20110527000147 |
| Provider Name | Brittney R Terry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083870539 PECOS PAC ID: 5193993178 Enrollment ID: I20110718000532 |
| Provider Name | Sabrina D Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477881100 PECOS PAC ID: 7012186562 Enrollment ID: I20110817000925 |
| Provider Name | Elizabeth G Humston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154581445 PECOS PAC ID: 3476723792 Enrollment ID: I20110824000406 |
| Provider Name | Paula Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043211204 PECOS PAC ID: 1658478573 Enrollment ID: I20111012000423 |
| Provider Name | Matthew D Garrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881814648 PECOS PAC ID: 8325210388 Enrollment ID: I20111017000627 |
| Provider Name | Holly N Falin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750689683 PECOS PAC ID: 1355514589 Enrollment ID: I20111102000732 |
| Provider Name | Jill A Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134428022 PECOS PAC ID: 2466625504 Enrollment ID: I20111104000322 |
| Provider Name | Rachel A Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649547803 PECOS PAC ID: 3779740576 Enrollment ID: I20120207000161 |
| Provider Name | Michele D Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417218447 PECOS PAC ID: 9234394461 Enrollment ID: I20120712000883 |
| Provider Name | Melissa C. Snyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699900670 PECOS PAC ID: 2163688219 Enrollment ID: I20120718000506 |
| Provider Name | Ali Rafai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558504704 PECOS PAC ID: 1557527421 Enrollment ID: I20120720000269 |
| Provider Name | Azadeh S Khezri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417181868 PECOS PAC ID: 6800052754 Enrollment ID: I20120723000480 |
| Provider Name | Kenneth J Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275763229 PECOS PAC ID: 4587832282 Enrollment ID: I20120806000636 |
| Provider Name | Niki Dockery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770843583 PECOS PAC ID: 7315195096 Enrollment ID: I20120921000482 |
| Provider Name | Mikella Blake Maine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912255001 PECOS PAC ID: 2365691714 Enrollment ID: I20121001000106 |
| Provider Name | April D Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598015778 PECOS PAC ID: 8325298946 Enrollment ID: I20121017000222 |
| Provider Name | Christina Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881931301 PECOS PAC ID: 8123263746 Enrollment ID: I20130401000378 |
| Provider Name | Tonya M Carr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396988978 PECOS PAC ID: 6901050186 Enrollment ID: I20130514000065 |
| Provider Name | Sulleman Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699905778 PECOS PAC ID: 9638319692 Enrollment ID: I20130716000194 |
| Provider Name | Victoria Shankle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568787075 PECOS PAC ID: 8022259746 Enrollment ID: I20130723000522 |
| Provider Name | Craig Matherne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215965710 PECOS PAC ID: 1254230295 Enrollment ID: I20130723000897 |
| Provider Name | Sharla K Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437593795 PECOS PAC ID: 4486896115 Enrollment ID: I20130809000072 |
| Provider Name | Jacalyn P Gilbert-green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801107545 PECOS PAC ID: 5092957514 Enrollment ID: I20130813000849 |
| Provider Name | Jennifer A Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063730943 PECOS PAC ID: 5395988406 Enrollment ID: I20130821000250 |
| Provider Name | Kimberly D Roller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457544868 PECOS PAC ID: 0345306585 Enrollment ID: I20130829000309 |
| Provider Name | Georganna J Starnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710299854 PECOS PAC ID: 9436393295 Enrollment ID: I20130917000278 |
| Provider Name | Leigh D Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093917486 PECOS PAC ID: 5496914798 Enrollment ID: I20131002000337 |
| Provider Name | Dawn M Nuckolls |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508120908 PECOS PAC ID: 7113154345 Enrollment ID: I20131216000595 |
| Provider Name | Catherine L Sink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144668179 PECOS PAC ID: 8426286238 Enrollment ID: I20140123001671 |
| Provider Name | Madonna Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184053472 PECOS PAC ID: 1951531136 Enrollment ID: I20140310000330 |
| Provider Name | Melissa M Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275955379 PECOS PAC ID: 8325270903 Enrollment ID: I20140414001106 |
| Provider Name | Susan R Breeden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821412925 PECOS PAC ID: 8628201308 Enrollment ID: I20140503000034 |
| Provider Name | Noelle M Eads |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467876383 PECOS PAC ID: 1355574609 Enrollment ID: I20140512001930 |
| Provider Name | Summer L Hopson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205254596 PECOS PAC ID: 2264656594 Enrollment ID: I20140606001181 |
| Provider Name | Crystal C Doty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245658327 PECOS PAC ID: 8022232370 Enrollment ID: I20140609001263 |
| Provider Name | Sarah A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649696709 PECOS PAC ID: 8527282730 Enrollment ID: I20140609002520 |
| Provider Name | Melanie Abbott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407275910 PECOS PAC ID: 4981828738 Enrollment ID: I20140617001641 |
| Provider Name | Angela Dawn Deschner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336558626 PECOS PAC ID: 9133349442 Enrollment ID: I20141009000912 |
| Provider Name | Katherine J Hodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548576549 PECOS PAC ID: 3274776067 Enrollment ID: I20141015001954 |
| Provider Name | Shannon D Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255748935 PECOS PAC ID: 9739300526 Enrollment ID: I20141020002035 |
| Provider Name | Felix L Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629017397 PECOS PAC ID: 4880790393 Enrollment ID: I20141117000716 |
| Provider Name | Nicole A Long |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962609289 PECOS PAC ID: 2264754589 Enrollment ID: I20141122000279 |
| Provider Name | Wayne M Woodbury |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770572893 PECOS PAC ID: 8123031465 Enrollment ID: I20150223001035 |
| Provider Name | Sarah M Mcrae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770994972 PECOS PAC ID: 2466673116 Enrollment ID: I20150401002568 |
| Provider Name | Leslie Brooke Mcnew-hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811303563 PECOS PAC ID: 3577784958 Enrollment ID: I20150428000441 |
| Provider Name | Paulina Mosca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720380231 PECOS PAC ID: 4789867706 Enrollment ID: I20150721002822 |
| Provider Name | Andrew L Becker |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1700152980 PECOS PAC ID: 0941514293 Enrollment ID: I20150731014528 |
| Provider Name | Tommy A Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720461379 PECOS PAC ID: 5092960344 Enrollment ID: I20150820011445 |
| Provider Name | Brandon Ketron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558629907 PECOS PAC ID: 1850616129 Enrollment ID: I20150922002146 |
| Provider Name | Christopher Shane Rudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891162533 PECOS PAC ID: 5092023101 Enrollment ID: I20151008002030 |
| Provider Name | Julie Ann Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679949572 PECOS PAC ID: 4183924145 Enrollment ID: I20151123001847 |
| Provider Name | Sean Joseph Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912325127 PECOS PAC ID: 9234430828 Enrollment ID: I20151228000852 |
| Provider Name | Lauren E Snapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932582012 PECOS PAC ID: 0840592127 Enrollment ID: I20160229000633 |
| Provider Name | Jordan Lee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528412301 PECOS PAC ID: 9537450069 Enrollment ID: I20160614000670 |
| Provider Name | Alison Maria Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467711671 PECOS PAC ID: 4789977968 Enrollment ID: I20160726001277 |
| Provider Name | Megan Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225480528 PECOS PAC ID: 3971896804 Enrollment ID: I20160729000222 |
| Provider Name | Barnabas Hines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114267119 PECOS PAC ID: 7810281482 Enrollment ID: I20160804000233 |
| Provider Name | Carli J Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861732968 PECOS PAC ID: 1658505375 Enrollment ID: I20160809000470 |
| Provider Name | Connie T Rutledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003260191 PECOS PAC ID: 3072808641 Enrollment ID: I20160822000500 |
| Provider Name | Tenessa A Munal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114472883 PECOS PAC ID: 0547555617 Enrollment ID: I20160829001360 |
| Provider Name | Erika Masters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437604535 PECOS PAC ID: 9739475443 Enrollment ID: I20160907000356 |
| Provider Name | William B Buselmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548608375 PECOS PAC ID: 6800012188 Enrollment ID: I20160912001236 |
| Provider Name | Caitlin Rose Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558629881 PECOS PAC ID: 9335463090 Enrollment ID: I20160919001708 |
| Provider Name | Ariel Denton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013462407 PECOS PAC ID: 1658668090 Enrollment ID: I20160928001474 |
| Provider Name | Rhonda C Hillman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083160519 PECOS PAC ID: 5799073334 Enrollment ID: I20161013001388 |
| Provider Name | Vanessa L Ailey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265838650 PECOS PAC ID: 5496035727 Enrollment ID: I20161202001602 |
| Provider Name | Brett Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194267765 PECOS PAC ID: 7113200056 Enrollment ID: I20170220000917 |
| Provider Name | Joy E Mclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730480724 PECOS PAC ID: 8820372287 Enrollment ID: I20170302000602 |
| Provider Name | Brad E Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578094207 PECOS PAC ID: 6800173097 Enrollment ID: I20170425001538 |
| Provider Name | Daniel P Armentrout |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437579760 PECOS PAC ID: 3476822164 Enrollment ID: I20170712001982 |
| Provider Name | Anna L Dunn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124437207 PECOS PAC ID: 5890064471 Enrollment ID: I20170726000554 |
| Provider Name | Tyler Harvey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932547239 PECOS PAC ID: 7911141213 Enrollment ID: I20170726004071 |
| Provider Name | Tammy M Wilhoit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437670437 PECOS PAC ID: 0345515128 Enrollment ID: I20171004001124 |
| Provider Name | Tara S Shields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215347240 PECOS PAC ID: 2062707318 Enrollment ID: I20171006001142 |
| Provider Name | Kayla O Almanzor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912434820 PECOS PAC ID: 9234405978 Enrollment ID: I20171024001806 |
| Provider Name | Amanda M Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033537428 PECOS PAC ID: 0840557948 Enrollment ID: I20171128001124 |
| Provider Name | Jason S Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790237394 PECOS PAC ID: 8325305428 Enrollment ID: I20171128001507 |
| Provider Name | Jared Charles Abel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023529401 PECOS PAC ID: 0143588392 Enrollment ID: I20180103001404 |
| Provider Name | Rebekah C Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417469958 PECOS PAC ID: 9032478425 Enrollment ID: I20180110000886 |
| Provider Name | Shasta B Helsel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750461265 PECOS PAC ID: 9032200480 Enrollment ID: I20180126001505 |
| Provider Name | Katelyn M Spitler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952851784 PECOS PAC ID: 0446539084 Enrollment ID: I20180130002052 |
| Provider Name | Brent A Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003270968 PECOS PAC ID: 3971868076 Enrollment ID: I20180518002346 |
| Provider Name | Zachary Linuel Sumpter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114380771 PECOS PAC ID: 9638434087 Enrollment ID: I20180605003450 |
| Provider Name | Jessica E Pugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982047650 PECOS PAC ID: 6406102052 Enrollment ID: I20180711004029 |
| Provider Name | Ashley T Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124538780 PECOS PAC ID: 2163779448 Enrollment ID: I20180717004253 |
| Provider Name | Janet E O'neal |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811057730 PECOS PAC ID: 9335104447 Enrollment ID: I20180719003128 |
| Provider Name | Robert J Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164929105 PECOS PAC ID: 7719235902 Enrollment ID: I20180803001729 |
| Provider Name | Shannon Nelms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760999247 PECOS PAC ID: 3476803016 Enrollment ID: I20180901000077 |
| Provider Name | Mark Andrew Mccommons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891006672 PECOS PAC ID: 1951651280 Enrollment ID: I20180907001978 |
| Provider Name | Alexandria R. Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346726775 PECOS PAC ID: 1850641036 Enrollment ID: I20180910001185 |
| Provider Name | Adam J Farmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306231659 PECOS PAC ID: 0941550891 Enrollment ID: I20180913002610 |
| Provider Name | Samantha A Ketron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578959920 PECOS PAC ID: 7214244060 Enrollment ID: I20180919001519 |
| Provider Name | Rita M Trivette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871088625 PECOS PAC ID: 8022369560 Enrollment ID: I20180924001095 |
| Provider Name | Jennifer Morel Treece |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417391285 PECOS PAC ID: 3577815141 Enrollment ID: I20181009002689 |
| Provider Name | Alysen M Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194110346 PECOS PAC ID: 4880941814 Enrollment ID: I20181108002876 |
| Provider Name | Casey L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912489261 PECOS PAC ID: 6406100221 Enrollment ID: I20181114002359 |
| Provider Name | Crystal M Weems |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225517253 PECOS PAC ID: 3870847304 Enrollment ID: I20181119002368 |
| Provider Name | Brandy N Pearce |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255808994 PECOS PAC ID: 1153667977 Enrollment ID: I20190115001469 |
| Provider Name | Leah Merrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861967465 PECOS PAC ID: 4284970054 Enrollment ID: I20190115003592 |
| Provider Name | Wendy N Rakestraw |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457836934 PECOS PAC ID: 3870830953 Enrollment ID: I20190128002061 |
| Provider Name | Karen A Zino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992902407 PECOS PAC ID: 3072668334 Enrollment ID: I20190209000062 |
| Provider Name | Ashley R Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629546718 PECOS PAC ID: 2668711094 Enrollment ID: I20190302000099 |
| Provider Name | Karri G Trivett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699249060 PECOS PAC ID: 6800136011 Enrollment ID: I20190326003122 |
| Provider Name | Michael R Mabry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982130993 PECOS PAC ID: 7416298187 Enrollment ID: I20190405000794 |
| Provider Name | Taylor N Harmon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154889285 PECOS PAC ID: 5092048389 Enrollment ID: I20190530002654 |
| Provider Name | Regina G Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891202628 PECOS PAC ID: 2163782079 Enrollment ID: I20190617003296 |
| Provider Name | Lauren N Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699248898 PECOS PAC ID: 8426382565 Enrollment ID: I20190624003730 |
| Provider Name | Christopher J Gill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205284775 PECOS PAC ID: 3577842665 Enrollment ID: I20190731003995 |
| Provider Name | Christopher J Phelps |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497164909 PECOS PAC ID: 2062748866 Enrollment ID: I20190801000355 |
| Provider Name | Kristin A. Patchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083270771 PECOS PAC ID: 1658608369 Enrollment ID: I20190802002254 |
| Provider Name | Stephanie Childress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548737935 PECOS PAC ID: 2365770328 Enrollment ID: I20190828004238 |
| Provider Name | Ethel L Longmire Oneal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205807351 PECOS PAC ID: 5092043257 Enrollment ID: I20190903002767 |
| Provider Name | Bettina N Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073175386 PECOS PAC ID: 3577892892 Enrollment ID: I20190912000836 |
| Provider Name | Eric Groen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942521836 PECOS PAC ID: 2264741610 Enrollment ID: I20191015001843 |
| Provider Name | Sonya N Hance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649326596 PECOS PAC ID: 4385975648 Enrollment ID: I20191017001364 |
| Provider Name | Andrew A Kovacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659933901 PECOS PAC ID: 7113353855 Enrollment ID: I20200128003270 |
| Provider Name | Caylee G Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164069845 PECOS PAC ID: 8325474679 Enrollment ID: I20200204001744 |
| Provider Name | Laurie E Trosin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801948427 PECOS PAC ID: 3971930066 Enrollment ID: I20200302002680 |
| Provider Name | Emilee Brook Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306478029 PECOS PAC ID: 1951739994 Enrollment ID: I20200325001456 |
| Provider Name | Katherine M Sharrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083245823 PECOS PAC ID: 1456789429 Enrollment ID: I20200325002781 |
| Provider Name | Rachel A Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578195467 PECOS PAC ID: 6406285592 Enrollment ID: I20200413001164 |
| Provider Name | Mary E Foran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477014827 PECOS PAC ID: 7113348863 Enrollment ID: I20200604000913 |
| Provider Name | Jennifer Reedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427681899 PECOS PAC ID: 0840612404 Enrollment ID: I20200627000174 |
| Provider Name | Patricia J Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922063247 PECOS PAC ID: 4385633502 Enrollment ID: I20200706000171 |
| Provider Name | Ashlee P Snapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912552316 PECOS PAC ID: 8820411911 Enrollment ID: I20200708001128 |
| Provider Name | Blake T Rozycki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174979926 PECOS PAC ID: 5597014704 Enrollment ID: I20200715003566 |
| Provider Name | Amanda R Lingerfelt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205377876 PECOS PAC ID: 0446500995 Enrollment ID: I20200716001825 |
| Provider Name | Alicia Leeann Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033749486 PECOS PAC ID: 1557785789 Enrollment ID: I20200721003923 |
| Provider Name | Caleb A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568903110 PECOS PAC ID: 6406106640 Enrollment ID: I20200728004080 |
| Provider Name | Michael A Snyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649519869 PECOS PAC ID: 3072938729 Enrollment ID: I20200729001326 |
| Provider Name | Gorica Svalina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649704412 PECOS PAC ID: 2163780917 Enrollment ID: I20200731001026 |
| Provider Name | Miranda Blevins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891107173 PECOS PAC ID: 6103117411 Enrollment ID: I20200811003892 |
| Provider Name | Camellia N Mccommons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649889072 PECOS PAC ID: 2860818168 Enrollment ID: I20200818000475 |
| Provider Name | Patricia L Chambers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053349159 PECOS PAC ID: 5092779165 Enrollment ID: I20200828002832 |
| Provider Name | Stacie Lynn Braswell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851629703 PECOS PAC ID: 5496985871 Enrollment ID: I20200914001131 |
| Provider Name | Mary L Trenda |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528673225 PECOS PAC ID: 8527487883 Enrollment ID: I20201006001756 |
| Provider Name | Savanna M Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235732504 PECOS PAC ID: 0840602546 Enrollment ID: I20201222003108 |
| Provider Name | Heather M Fraysier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962098285 PECOS PAC ID: 4981017373 Enrollment ID: I20201231001859 |
| Provider Name | Sylvester Contreras |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518542588 PECOS PAC ID: 1052728714 Enrollment ID: I20210324001424 |
| Provider Name | Kelsey B Devault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134714090 PECOS PAC ID: 3779990189 Enrollment ID: I20210401000200 |
| Provider Name | Cameron M Shawver |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1881034346 PECOS PAC ID: 9335382688 Enrollment ID: I20210624003627 |
| Provider Name | Teresa B Landore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508351735 PECOS PAC ID: 2668873431 Enrollment ID: I20210630002606 |
| Provider Name | A Suzanne Norwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497335111 PECOS PAC ID: 7810399334 Enrollment ID: I20210707000634 |
| Provider Name | Joseph R Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386140135 PECOS PAC ID: 6204239742 Enrollment ID: I20210727001433 |
| Provider Name | Jordan B Stivers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679153720 PECOS PAC ID: 1052714946 Enrollment ID: I20210729003014 |
| Provider Name | Patrick K Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306370051 PECOS PAC ID: 5597006270 Enrollment ID: I20210805000489 |
| Provider Name | Elisabeth A Mcgaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346688470 PECOS PAC ID: 7012158520 Enrollment ID: I20210805002158 |
| Provider Name | Nicholas Austin Sutton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871973891 PECOS PAC ID: 6204251853 Enrollment ID: I20210813000712 |
| Provider Name | Maria Danielle Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598281842 PECOS PAC ID: 4880098797 Enrollment ID: I20210813000908 |
| Provider Name | Jessica N Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205395001 PECOS PAC ID: 5395078430 Enrollment ID: I20210819001221 |
| Provider Name | Megan C Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316616584 PECOS PAC ID: 9032517016 Enrollment ID: I20211005002373 |
| Provider Name | Shannon N Ramey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942971627 PECOS PAC ID: 8022416692 Enrollment ID: I20211012002150 |
| Provider Name | Christian B Robinette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215425467 PECOS PAC ID: 0244581551 Enrollment ID: I20211013003062 |
| Provider Name | Heather P Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467084491 PECOS PAC ID: 9234527458 Enrollment ID: I20211020002812 |
| Provider Name | Sarah A Knuettel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316428626 PECOS PAC ID: 5698163863 Enrollment ID: I20211021001388 |
| Provider Name | Amanda L Lundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578233235 PECOS PAC ID: 2961890090 Enrollment ID: I20211022001040 |
| Provider Name | Hope E Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831762392 PECOS PAC ID: 6002204708 Enrollment ID: I20211029001456 |
| Provider Name | Elizabeth Lauren Mccloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144982620 PECOS PAC ID: 3577951284 Enrollment ID: I20211029001864 |
| Provider Name | Bianca N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265196232 PECOS PAC ID: 6204226210 Enrollment ID: I20211207000608 |
| Provider Name | Mariah W Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578227880 PECOS PAC ID: 7113311788 Enrollment ID: I20220224000612 |
| Provider Name | James A Joslyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629633102 PECOS PAC ID: 9537494075 Enrollment ID: I20220615000029 |
| Provider Name | John J Treece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023603131 PECOS PAC ID: 6406264035 Enrollment ID: I20220627003377 |
| Provider Name | Nathaniel A Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508420704 PECOS PAC ID: 2961735055 Enrollment ID: I20220718001437 |
| Provider Name | James A Kidd |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376674051 PECOS PAC ID: 0042691008 Enrollment ID: I20220721002955 |
| Provider Name | Gracie V Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528526035 PECOS PAC ID: 3173905296 Enrollment ID: I20220804003501 |
| Provider Name | Travis J Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760945455 PECOS PAC ID: 4385970839 Enrollment ID: I20220805002536 |
| Provider Name | Richard A Bolinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558850792 PECOS PAC ID: 2163805987 Enrollment ID: I20220811001786 |
| Provider Name | Lauren Elizabeth Snapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326772245 PECOS PAC ID: 8123401890 Enrollment ID: I20220812000324 |
| Provider Name | Bruce Cody Winegar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518420595 PECOS PAC ID: 2365778982 Enrollment ID: I20220816003866 |
| Provider Name | Katie M Prosser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366005605 PECOS PAC ID: 1254714496 Enrollment ID: I20220819002348 |
| Provider Name | Whitney M Gambrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851050033 PECOS PAC ID: 2062896053 Enrollment ID: I20220824002797 |
| Provider Name | Carol M Maupin-wheelock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265551287 PECOS PAC ID: 2365826880 Enrollment ID: I20220901002465 |
| Provider Name | Michael A Teesdale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316599491 PECOS PAC ID: 7113345166 Enrollment ID: I20220919002042 |
| Provider Name | Rosa A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669116018 PECOS PAC ID: 3476929308 Enrollment ID: I20221018003121 |
| Provider Name | Audrey B Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326763103 PECOS PAC ID: 4587030366 Enrollment ID: I20221019001711 |
| Provider Name | Kathryn P Huffman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396220463 PECOS PAC ID: 8325392723 Enrollment ID: I20221025000488 |
| Provider Name | Emily S Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083321004 PECOS PAC ID: 9234506783 Enrollment ID: I20221114000545 |
| Provider Name | Jennifer Nanette Mccready |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982263620 PECOS PAC ID: 3072934348 Enrollment ID: I20230202001608 |
| Provider Name | Kathleen J Foster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477744159 PECOS PAC ID: 0840460648 Enrollment ID: I20230317001244 |
| Provider Name | Meredith A Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679139935 PECOS PAC ID: 0345573564 Enrollment ID: I20230324002142 |
| Provider Name | Chastity M O'quinn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356040117 PECOS PAC ID: 5799150801 Enrollment ID: I20230403001790 |
| Provider Name | Abigail Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073140752 PECOS PAC ID: 5092138073 Enrollment ID: I20230427001081 |
| Provider Name | Brynn F Crisp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265056014 PECOS PAC ID: 7416376595 Enrollment ID: I20230502002133 |
| Provider Name | David L Nerness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205870771 PECOS PAC ID: 4981746492 Enrollment ID: I20230503002687 |
| Provider Name | Alexandra M Steadman-cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336835883 PECOS PAC ID: 3678938065 Enrollment ID: I20230509001156 |
| Provider Name | Ryan T Hunley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992233704 PECOS PAC ID: 2062835721 Enrollment ID: I20230522000548 |
| Provider Name | Elizabeth A Pettey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013611425 PECOS PAC ID: 9739546581 Enrollment ID: I20230609000135 |
| Provider Name | Amanda D Ledford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649880139 PECOS PAC ID: 4789042615 Enrollment ID: I20230623002872 |
| Provider Name | Rebecca A Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164059085 PECOS PAC ID: 3779907571 Enrollment ID: I20230712000185 |
| Provider Name | Rania A Al Asmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083107932 PECOS PAC ID: 5799037859 Enrollment ID: I20230712001499 |
| Provider Name | Jessie P Feathers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124649116 PECOS PAC ID: 9133543358 Enrollment ID: I20230712001539 |
| Provider Name | Benjamin T Emery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780203851 PECOS PAC ID: 5698135457 Enrollment ID: I20230712002810 |
| Provider Name | Aaron M Doran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689201907 PECOS PAC ID: 5395169601 Enrollment ID: I20230726002929 |
| Provider Name | Alexandra M Bowling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073996948 PECOS PAC ID: 5597063495 Enrollment ID: I20230815001868 |
| Provider Name | Angela M Lundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043937550 PECOS PAC ID: 5890163299 Enrollment ID: I20230928001550 |
| Provider Name | Eve M Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942073366 PECOS PAC ID: 2062860323 Enrollment ID: I20231127002108 |
| Provider Name | Allison Babette Buckles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649047259 PECOS PAC ID: 7416307665 Enrollment ID: I20231229001586 |
| Provider Name | Felicia Desiree Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184490245 PECOS PAC ID: 5496106106 Enrollment ID: I20240108000183 |
| Provider Name | Tamara L Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881327849 PECOS PAC ID: 5698145829 Enrollment ID: I20240118000087 |
| Provider Name | Kellie M Blackwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104053891 PECOS PAC ID: 8820245749 Enrollment ID: I20240122000818 |
Medical Care Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 E Watauga Ave, Johnson City, TN 37601 Phone: 423-722-8446 Fax: 423-722-5674 | |
University Physicians Practice Group-etsu Family Medicine Johnson City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 W Walnut St, Johnson City, TN 37604 Phone: 423-439-6464 Fax: 423-439-7118 | |
Wyche & Wyche, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2406 Susannah St, Johnson City, TN 37601 Phone: 423-282-2542 Fax: 423-282-5447 | |
Imperial Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1604 Lamons Ln Ste 230, Johnson City, TN 37604 Phone: 423-930-5168 Fax: 423-328-0193 | |
New Life Chiropractic And Wellness Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 E Watauga Ave, Johnson City, TN 37601 Phone: 423-928-4101 | |
Johnson City Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2320 Knob Creek Rd Ste 404, Johnson City, TN 37604 Phone: 281-429-8526 |