SPEIGHT FAMILY MEDICAL, LLC (NPI# 1083895023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083895023 |
| Entity Type | Organization |
| Organization Name | SPEIGHT FAMILY MEDICAL, LLC |
| Practice Address |
76 Tabb Dr Suite E Munford TN 38058-8611 |
| Practice Telephone | 9018402102 |
| Practice Fax Number | 9018401979 |
| Mailing Telephone | 9018402102 |
| Mailing Fax Number | 9018401979 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | DR. DEANNA KIMBERLIN SPEIGHT (OWNER/FNP) |
| Authorized Official Telephone | 9018402102 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
6874 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
6874 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | NPI | 1679630891 | 01 |
| TN | NPI | 1770531766 | 01 |
| TN | 1509248 | 05 | |
| TN | 5442117 | 05 |
| Street Address |
76 TABB DR SUITE E |
| City | MUNFORD |
| State | TN |
| Zip Code | 38058-8611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763278 | Jayson D Cannon | Chiropractor | 76 Tabb Dr, Suite C, Munford, TN 38058-8611 | 2005-07-07 |
| 1538707955 | Walter Johnson | Chiropractor | 76 Tabb Dr, Munford, TN 38058-8611 | 2019-12-16 |
| 1104462977 | Travis Whiteside | Chiropractor | 76 Tabb Dr, Munford, TN 38058-8611 | 2019-11-26 |
| 1336684083 | Andrea Michelle Jossell | Chiropractor | 76 Tabb Dr, Suite C, Munford, TN 38058-8611 | 2017-01-04 |
| 1184947038 | Dawn Mangum Stewart | Nurse Practitioner | 76 Tabb Dr, Suite E, Munford, TN 38058 | 2010-03-08 |
| 1679630891 | Deanna K Speight | Nurse Practitioner | 76 Tabb Dr, Suite E, Munford, TN 38058-8611 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366995201 | Tristan Andrew Hill | Dentist | 843 Tipton Road, E, Munford, TN 38058 | 2016-07-27 |
| 1730493602 | Richard L Talley | Pharmacist | 44 Tabb Dr, Munford, TN 38058 | 2010-08-03 |
| 1730406380 | Michelle D Crump | Physical Therapy Assistant | 21 Bryanna Cove, Munford, TN 38058 | 2010-04-22 |
| 1154499382 | John R Nichols | Dentist | 28 N Tipton, Munford, TN 38058 | 2006-12-04 |
| 1215010442 | Mitchell S Parker | Dentist | 1461 Munford Ave, Munford, TN 38058 | 2006-10-23 |
| 1487135984 | Revelation Tree Counseling and Wellness, LLC | Counselor | 3865 Beaver Rd, Munford, TN 38058 | 2018-08-23 |
| 1649287319 | Wanda J Harrell | Nurse Practitioner | 99 Doctors Dr, Suite 700, Munford, TN 38058 | 2006-08-02 |
| 1326054446 | Robert Moody | Physician Assistant | 99 Doctors Dr, Suite 700, Munford, TN 38058 | 2006-07-31 |
| 1992777072 | May Medical Group P.C. | Family Medicine | 99 Doctors Dr, Suite 700, Munford, TN 38058 | 2006-02-03 |
| 1316990526 | Mary Gillihan Higdon | Dentist | 35 E Main St, Munford, TN 38058-0177 | 2006-05-18 |
| Find all providers in zip 38058 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1023665403 | Elite Healthcare, LLC | Clinic/Center | 117 N 3rd St, Kingston, TN 37763-2842 | 2019-08-21 |
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| 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.