MS. PAMELA SUZETTE MILAM (NPI# 1134275019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134275019 |
| Entity Type | Individual |
| Full Name | MS. PAMELA SUZETTE MILAM |
| Other Name | MS. SUZETTE M. RENFROW (PREVIOUSLY HUNTER) |
| Credential | CNP |
| Practice Address |
209 West State Line Rd. South Fulton TN 38257 |
| Mailing Address |
9120 New Home Rd Martin TN 38237 |
| Practice Telephone | 7314792112 |
| Practice Fax Number | 7314792116 |
| Mailing Telephone | 7315711395 |
| Mailing Fax Number | 7315873460 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2014-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0000005426 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | P00168718 | 01 |
| TN | BCBS | 4086343 | 01 |
| Street Address |
209 WEST STATE LINE RD. |
| City | SOUTH FULTON |
| State | TN |
| Zip Code | 38257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275882565 | Katherine Hames Cummings | Physician Assistant | 209 West State Line Rd, South Fulton, TN 38257 | 2012-09-03 |
| 1740268531 | Charles Avery Rice | Optometrist | 207 West State Line, South Fulton, TN 38257 | 2006-01-03 |
| 1396888996 | Charles Wade Andrews I | Pharmacist | 511 Broadway St, South Fulton, TN 38257 | 2007-02-14 |
| 1932382850 | Dr Charles A Rice Od PC | Optometrist | 207 W State Line St, South Fulton, TN 38257-2015 | 2007-12-13 |
| 1982829065 | Audiene M Stoneham Nance | Developmental Therapist | 311 Holmes St, South Fulton, TN 38257-2139 | 2007-04-16 |
| 1306923537 | William Thomas Byars Jr. | Optometrist | 300 Broadway St, South Fulton, TN 38257-2165 | 2006-11-01 |
| 1699315549 | Zearle Frances Robey | Technician | 407 Harris Drive, South Fulton, TN 38257-2325 | 2020-01-08 |
| 1962421487 | Philip Andrews | Pharmacist | 511 Broadway St, South Fulton, TN 38257-2401 | 2006-07-18 |
| 1093720641 | Southside Drug Inc | Pharmacy | 511 Broadway St, Southern Village S/c, South Fulton, TN 38257-2401 | 2006-07-30 |
| 1326686064 | Integrity-park Terrace, LLC | Assisted Living Facility | 712 Broadway St, South Fulton, TN 38257-2406 | 2019-12-12 |
| Find all providers in zip 38257 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922568724 | Finley W Leslie | Nurse Practitioner | 1135 Broadway St, South Fulton, TN 38257-2835 | 2019-03-20 |
| 1699789305 | Elizabeth R Jones | Nurse Practitioner | 1135 Broadway St, South Fulton, TN 38257-2835 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204038 | Ann Clare Guest | Nurse Practitioner | 1483 Goodbar Ave, Memphis, TN 38104-4912 | 2020-10-28 |
| 1770183055 | Paige Sellers | Nurse Practitioner | 104 Colbert Way, Nashville, TN 37206-1052 | 2020-10-27 |
| 1487253035 | John Dowlen | Nurse Practitioner | 808 Danbury Cove Pl, Signal Mountain, TN 37377-1777 | 2020-10-23 |
| 1144829839 | Douglas Arthur Mcinnis Jr. | Nurse Practitioner | 7464 River Road Pike, Nashville, TN 37209-5729 | 2020-10-22 |
| 1225636871 | Natalie Scott | Nurse Practitioner | 144 Gail Dr, Hendersonville, TN 37075-3494 | 2020-10-15 |
| 1952908154 | Courtney Diane Vance | Nurse Practitioner | 936 Station View Rd, Knoxville, TN 37919-2034 | 2020-10-01 |
| 1093322042 | Meghan Nicole Adams | Nurse Practitioner | 1508 Carl Adams Dr Unit 200, Murfreesboro, TN 37129-4375 | 2020-09-24 |
| 1871108092 | Kimberly Jean Palmer | Nurse Practitioner | 6940 Millersburg Rd, Christiana, TN 37037-5708 | 2020-09-14 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1154936946 | Allyson Escott Dormois | Nurse Practitioner | 130 Flicker St, Memphis, TN 38104-5928 | 2020-09-09 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH FULTON |
| Zip Code | 38257 |
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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.