TULLAHOMA ADVANCED CARE INC. (NPI# 1538215942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538215942 |
| Entity Type | Organization |
| Organization Name | TULLAHOMA ADVANCED CARE INC. |
| Practice Address |
601 Nw Atlantic St Tullahoma TN 37388-3536 |
| Practice Telephone | 9313932245 |
| Practice Fax Number | 9313932247 |
| Mailing Telephone | 9313932245 |
| Mailing Fax Number | 9313932247 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-11-06 |
| Authorized Official Name | MRS. PAT L YORK (OFFICE MANAGER) |
| Authorized Official Telephone | 9313935112 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 4144439 | 01 |
| TN | AMERIGROUP | 1007451 | 01 |
| TN | 3289001 | 05 | |
| TN | NPI | 1538215942 | 01 |
| Street Address |
601 NW ATLANTIC ST |
| City | TULLAHOMA |
| State | TN |
| Zip Code | 37388-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326099060 | G.b. Medical Assoicates, Inc. | Family Medicine | 601 Nw Atlantic St, Tullahoma, TN 37388-3536 | 2006-05-15 |
| 1487028445 | Tingting Barry | Emergency Medicine | 601 Nw Atlantic St, Tullahoma, TN 37388-3536 | 2015-11-13 |
| 1922498468 | Monnie E Adereti | Nurse Practitioner | 601 Nw Atlantic St, Tullahoma, TN 37388-3536 | 2015-02-04 |
| 1194099358 | Jennifer Archey Shetters | Nurse Practitioner | 601 Nw Atlantic St, Tullahoma, TN 37388-3536 | 2012-03-05 |
| 1063665040 | Pediatric Dental Centers, PC | Dentist | 601 Nw Atlantic St, Suite A, Tullahoma, TN 37388-3536 | 2008-11-04 |
| 1417063579 | Steve Randall Lynn | Dentist | 601 Nw Atlantic St, Tullahoma, TN 37388 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
| 1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
| 1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
| 1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
| 1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
| 1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
| 1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
| Find all providers in zip 37388 | ||||
| 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 |
|---|---|---|---|---|
| 1356646434 | Brett L Ferrell | Family Medicine | 100 William N. Blvd, Tullahoma, TN 37388-4754 | 2011-01-20 |
| 1245363217 | Milton Adrian Smith | Family Medicine | 113 W Moore St, Tullahoma, TN 37388-3571 | 2007-03-13 |
| 1093814584 | Ian S Taylor | Family Medicine | 10054 Old Tullahoma Rd, Tullahoma, TN 37388-6122 | 2006-09-21 |
| 1326099060 | G.b. Medical Assoicates, Inc. | Family Medicine | 601 Nw Atlantic St, Tullahoma, TN 37388-3536 | 2006-05-15 |
| 1184699662 | Thomas F Phelps | Family Medicine | 1750 Cedar Ln 300, Tullahoma, TN 37388-4762 | 2006-02-20 |
| 1578558441 | Richard Clinton Cole | Family Medicine | 2106 N Jackson St, Tullahoma, TN 37388-2208 | 2005-09-15 |
| 1841800851 | Arthur Davies Md, Pllc | Family Medicine | 100 William Northern Blvd, Tullahoma, TN 37388-4754 | 2020-08-04 |
| 1396119327 | Freedom Medical Clinic Pllc | Family Medicine | 622 Wilson Ave, Tullahoma, TN 37388-3265 | 2015-11-13 |
| 1992183115 | Teresa Patterson Md | Family Medicine | 209 Wilson Ave, Tullahoma, TN 37388-3353 | 2015-05-07 |
| 1841541117 | Amg - Southern Tennessee, LLC | Family Medicine | 10054 Old Tullahoma Rd, Tullahoma, TN 37388 | 2012-09-27 |
| Find all providers in TULLAHOMA | ||||
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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.