GERIATRIC ESSENTIALS, PC (NPI# 1003086307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003086307 |
| Entity Type | Organization |
| Organization Name | GERIATRIC ESSENTIALS, PC |
| Practice Address |
804 Scotsman Trce Dyersburg TN 38024-2910 |
| Practice Telephone | 7315718808 |
| Practice Fax Number | 7312141816 |
| Mailing Telephone | 7315718808 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | DAVID BRIAN HUGHES (OWNER/OPERATOR) |
| Authorized Official Telephone | 7315718808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
APN013215 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1506654 | 05 | |
| TN | Q012269 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1950 Cook St Ste G, Dyersburg, TN 380241899 | 7315718808 | 7312141816 |
| 402 W Farthing St, Mayfield, KY 420662900 | 7315718808 | 7312141816 |
| 500 Truman Blvd, Caruthersville, MO 638301261 | 7315718808 | 7312141816 |
| 12181 Us Hwy 51, Halls, TN 38040 | 7315718808 | 7312141816 |
| Street Address |
804 SCOTSMAN TRCE |
| City | DYERSBURG |
| State | TN |
| Zip Code | 38024-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144490467 | David Brian Hughes | Nurse Practitioner | 804 Scotsman Trce, Dyersburg, TN 38024-2910 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760273 | Alison Clement | Nurse Practitioner | 750 W Highway 51 Bypass, Dyersburg, TN 38024 | 2020-01-29 |
| 1861030652 | Pagela Jobe | Nurse Practitioner | 750 West Highway 51 Bypass, Dyersburg, TN 38024 | 2019-12-12 |
| 1083184055 | Whitney Young | Nurse Practitioner | 455 East Parkview, Dyersburg, TN 38024 | 2018-12-03 |
| 1518434067 | Myeyedr Optometry of Tennessee, LLC | Optometrist | 400 Us Hwy 51 S, Dyersburg, TN 38024 | 2018-11-01 |
| 1225529142 | Kidney Experts Pllc | Internal Medicine | 1575 Parr Ave # B, Dyersburg, TN 38024 | 2018-05-25 |
| 1407344690 | Darnisha Williams | Pharmacist | 2650 Lake Road, Dyersburg, TN 38024 | 2018-04-24 |
| 1376081547 | Chasidy Branch | Counselor | 640 U.S. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 | 2017-02-07 |
| 1548671845 | Shree Ramakant Mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-08 |
| 1588904965 | Selina Carol Purvis | Physical Therapy Assistant | 1900 Parr Avenue, Dyersburg, TN 38024 | 2013-02-22 |
| 1326396029 | Tennessee Sleep Managment LLC | Clinic/Center | 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 | 2012-08-28 |
| Find all providers in zip 38024 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841698123 | Executive Level Wellness | Clinical Nurse Specialist | 1167 Jr Jones Rd, Humboldt, TN 38343-8080 | 2014-12-18 |
| 1992223804 | Tina Ray | Clinical Nurse Specialist | 333 Commerce St Ste 700, Nashville, TN 37201-1835 | 2017-08-31 |
Please comment or provide details below to improve the information on GERIATRIC ESSENTIALS, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.