DR. FARRAH RAE VERNON (NPI# 1497069603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497069603 |
| Entity Type | Individual |
| Full Name | DR. FARRAH RAE VERNON |
| Credential | D.O. |
| Practice Address |
136 S Wilson St Dresden TN 38225-1133 |
| Mailing Address |
205 Hospital Dr Suite A Mc Kenzie TN 38201-1649 |
| Practice Telephone | 7313644900 |
| Practice Fax Number | 7313524459 |
| Mailing Telephone | 7313527907 |
| Mailing Fax Number | 7313524459 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2014-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2012004806 | MO | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | DO000000517 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICAID GROUP | 3380640 | 01 |
| TN | MEDICARE GROUP | 3380640 | 01 |
| Street Address |
136 S WILSON ST |
| City | DRESDEN |
| State | TN |
| Zip Code | 38225-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720075633 | Elizabeth A Riddle | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2005-10-05 |
| 1134689920 | Mary Rebecca Wall | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2019-03-20 |
| 1326430620 | Erin Nicole Legens | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2015-02-23 |
| 1497178693 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 136 S Wilson St, Dresden, TN 38225-1133 | 2014-01-24 |
| 1881681666 | Mark A Cooper | Internal Medicine | 136 S Wilson St, Dresden, TN 38225-1133 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164572327 | State of Tennessee | Public Health or Welfare | 9852 Hwy 22, Dresden, TN 38225 | 2007-01-11 |
| 1174626899 | Tennessee Cvs Pharmacy LLC | Pharmacy | 6616 Greenfield Hwy 54, Dresden, TN 38225 | 2006-09-07 |
| 1629284294 | Freds Stores of Tennessee Inc | Pharmacy | 8487 Highway 22, Dresden, TN 38225 | 2007-05-14 |
| 1790075281 | Mckenzie Medical Center | Pharmacy | 136 S Wilson St # B, Dresden, TN 38225-1133 | 2011-04-18 |
| 1225237928 | Richard Dale Hutcherson | Dentist | 106 W Maple St, Dresden, TN 38225-1141 | 2007-07-12 |
| 1922648237 | Clint Devan Raymer | Student in an Organized Health Care Education/Training Program | 344 Morrow St, Dresden, TN 38225-1324 | 2020-01-14 |
| 1770968034 | Kimberly Mcentire Hammonds | Counselor | 315 Hillcrest St, Dresden, TN 38225-1356 | 2015-07-28 |
| 1609833227 | Edwin Gwin Anderson | Optometrist | 113 E Locust St, Dresden, TN 38225-1440 | 2006-04-27 |
| 1316012099 | Optometric Center Professional Corporation | Optometrist | 113 E Locust St, Dresden, TN 38225-1440 | 2006-11-21 |
| 1033294467 | James Taylor Moss Jr. | Dentist | 107 E Locust St, Dresden, TN 38225-1440 | 2006-10-26 |
| Find all providers in zip 38225 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607052 | Colton Ray Moore | Family Medicine | 104 Collins Rd, Dresden, TN 38225-2426 | 2020-07-23 |
| 1922095264 | James P. Johnston | Family Medicine | 304 Chestnut St, Dresden, OH 43821-9590 | 2005-10-03 |
| 1295226637 | Dresden Family Health Center | Family Medicine | 304 Chestnut St, Dresden, OH 43821-9590 | 2018-05-22 |
| 1225185374 | Anna Marie Purkey | Family Medicine | 304 Chestnut St, Dresden, OH 43821-9590 | 2007-01-04 |
| 1659463867 | James P Johnston D O Inc | Family Medicine | 304 Chestnut St, Dresden, OH 43821-9590 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768031 | Chanler Korte | Family Medicine | 879 Greenlea Blvd Ste 103, Gallatin, TN 37066-3205 | 2020-10-26 |
| 1538768205 | Winbigler Medical, Pllc | Family Medicine | 1205 Lodge St, Alcoa, TN 37701-2092 | 2020-10-22 |
| 1205434420 | Urgent Care for Children, Pllc | Family Medicine | 5207 Highway 153, Hixson, TN 37343-5894 | 2020-10-09 |
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1336755271 | Maryellen Tipton | Family Medicine | 1489 Touraine Pl, Knoxville, TN 37919-8278 | 2020-09-16 |
| 1144835539 | Memphis Family Care | Family Medicine | 5818 Winchester Rd, Memphis, TN 38115-4711 | 2020-09-11 |
| 1538772868 | Longmire Health Group | Family Medicine | 1331 Union Ave Ste 1024, Memphis, TN 38104-7509 | 2020-08-26 |
| 1023621646 | Access Medical Clinic Tennessee LLC | Family Medicine | 204 Glades Rd, Gatlinburg, TN 37738-5601 | 2020-08-24 |
| 1528671294 | Sarah Willms | Family Medicine | 2309 Crestmoor Rd Ste 200, Nashville, TN 37215-2043 | 2020-08-24 |
| 1265042238 | Better Care Clinic | Family Medicine | 2021 E Andrew Johnson Hwy, Morristown, TN 37814-5409 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. FARRAH RAE VERNON.
| 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.