ADVANCED MEDICAL GROUP, P.C. (NPI# 1346281706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346281706 |
| Entity Type | Organization |
| Organization Name | ADVANCED MEDICAL GROUP, P.C. |
| Practice Address |
615 Leeper Parkway Lenoir City TN 37772-6151 |
| Practice Telephone | 8659868600 |
| Practice Fax Number | 8659860961 |
| Mailing Telephone | 8659868600 |
| Mailing Fax Number | 8659860961 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2009-07-15 |
| Authorized Official Name | TERRY BRAGG (OWNER) |
| Authorized Official Telephone | 8659868600 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 178 | TN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1510839 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ADVANCED MEDICAL GROUP, P.C. | 2044 Ocean Avenue / Suite A-3, Brooklyn, Ny 11230 |
| Street Address |
615 LEEPER PARKWAY |
| City | LENOIR CITY |
| State | TN |
| Zip Code | 37772-6151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811458565 | Physician Associate Resources, Plc | Physician Assistant | 1559 Highland Park Drive, Lenoir City, TN 37772 | 2019-03-26 |
| 1447732235 | Back To Nu Low T Solutions, LLC | Nurse Practitioner | 2271 Highway 11 E Unit 1, Lenoir City, TN 37772 | 2018-08-29 |
| 1225519549 | Li Yin Chin Goode | Physical Therapist | 576 Ft Loudoun Med Ctr Dr Ste 100a, Lenoir City, TN 37772 | 2018-08-24 |
| 1982051298 | Louis I Reper II | Podiatrist | 125 Town Creek Rd E Ste 3, Lenoir City, TN 37772 | 2016-05-17 |
| 1407293293 | Summit Medical Group, Pllc | Internal Medicine | 4160 Medical Park Dr., Suite 107, Lenoir City, TN 37772 | 2013-06-03 |
| 1417080896 | Wendy L Taylor | Nurse Practitioner | 125 East Town Creek Rd., Suite 2b, Lenoir City, TN 37772 | 2007-03-14 |
| 1639213796 | Generations Obgyn,p.c. | Specialist | 576 Ft. Loudoun Profesional Bldg, Suite 207, Lenoir City, TN 37772 | 2007-02-20 |
| 1366584104 | Mary Louise Mortimer | Internal Medicine | 2771 Hwy 11 East, Suite 5, Lenoir City, TN 37772 | 2007-02-12 |
| 1366501892 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 802 Hall St, Ste 4, Lenoir City, TN 37772 | 2006-12-08 |
| 1093890733 | Howard Gene Holmes | Internal Medicine | 460 Medical Park Dr., Suite 102, Lenoir City, TN 37772 | 2006-10-25 |
| Find all providers in zip 37772 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457898272 | Complete Chiropractic & Wellness Center | Chiropractor | 615 E Bdwy, Lenoir City, TN 37771-3010 | 2017-01-31 |
| 1235475500 | Charles Barrett Deubert | Chiropractor | 18575 Martel Rd, Lenoir City, TN 37772-4237 | 2012-12-14 |
| 1427209527 | A Healthy Life Chiropractic | Chiropractor | 1005 E Bdwy, Lenoir City, TN 37771-2004 | 2008-10-07 |
| 1700064235 | Lenoir City Chiropractic, P.C. | Chiropractor | 1475 Simpson Rd W Ste 1, Lenoir City, TN 37771-6686 | 2008-02-06 |
| 1396898052 | David Wayne Holt | Chiropractor | 1005 E Broadway, Lenoir City, TN 37771 | 2007-01-18 |
| 1790878940 | Courtley Chiropractic Corporation | Chiropractor | 149 Kelsey Drive, Suite 102, Lenoir City, TN 37772 | 2006-10-02 |
| 1700836038 | James Guy Wells | Chiropractor | 785 Highway 321 N, Lenoir City, TN 37771-6502 | 2006-05-10 |
| 1548218415 | Wendell L. Ellis | Chiropractor | 1475 Simpson Rd W, Suite 1, Lenoir City, TN 37771-6685 | 2006-05-04 |
| 1659339158 | Terry Bragg | Chiropractor | 615 Leeper Pkwy, Lenoir City, TN 37772-6151 | 2006-05-03 |
| 1134777618 | Complete Chiropractic & Wellness, Inc. | Chiropractor | 615 E Bdwy, Lenoir City, TN 37771-3010 | 2019-08-28 |
| Find all providers in LENOIR CITY | ||||
| City | LENOIR CITY |
| Zip Code | 37772 |
Please comment or provide details below to improve the information on ADVANCED MEDICAL GROUP, P.C..
| 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.