P A CORPORATE ENTERPRISES LLP (NPI# 1598201196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598201196 |
| Entity Type | Organization |
| Organization Name | P A CORPORATE ENTERPRISES LLP |
| Other Organization Name | SOUTH GIBSON FAMILY CARE |
| Practice Address |
589 Highway 45 Byp S Medina TN 38355-9633 |
| Practice Telephone | 7134620000 |
| Mailing Telephone | 7134620000 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Authorized Official Name | DAVID JEFF WILBERT (OWNER) |
| Authorized Official Telephone | 7134620000 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South Gibson Family Care | Doing Business As Name - Organization |
| Street Address |
589 HIGHWAY 45 BYP S |
| City | MEDINA |
| State | TN |
| Zip Code | 38355-9633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696582 | Allie Boyd Seaton | Physician Assistant | 589 Highway 45 Byp S, Medina, TN 38355-9633 | 2019-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427454511 | Freds Stores of Tennessee Inc | Pharmacy | 211 Three Oaks Drive, Medina, TN 38355 | 2014-11-17 |
| 1023446051 | Three Oaks Pharmacy, LLC | Pharmacy | 259 Three Oaks Dr, Suite A, Medina, TN 38355 | 2013-10-30 |
| 1194097642 | Fuller Home Solutions LLC. | Durable Medical Equipment & Medical Supplies | 91 Milan Highway, Suite D, Medina, TN 38355 | 2012-01-30 |
| 1659662294 | Holly Monroe Wright | Dermatology | 148 Us Highway 45e, Medina, TN 38355 | 2011-05-01 |
| 1124357173 | Brian S Patterson | Dentist | 23 Garrett Dr, Medina, TN 38355 | 2009-12-21 |
| 1417102906 | First Choice Medical Care of Medina, Inc. | Clinic/Center | 605 Hwy 45 East, Medina, TN 38355 | 2008-11-25 |
| 1083755037 | Molly Lee | Optometrist | 25 Middle School Road, Medina, TN 38355 | 2007-02-11 |
| 1447300603 | Donna Boals Schlesinger | Pharmacist | 609 Hwy 45 Bypass, Medina, TN 38355 | 2007-01-11 |
| 1245740547 | Wright Dermatology, Pllc | Dermatology | 148 Us Highway 45e, Medina, TN 38355 | 2017-10-02 |
| 1346579356 | Patterson Family Dentistry | Dentist | 23 Garrett Dr, Medina, TN 38355 | 2009-12-22 |
| Find all providers in zip 38355 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
| 1447861562 | Henry County Medical Center | Clinic/Center | 14201 Highway 79 N Unit 4, Buchanan, TN 38222-4183 | 2020-08-12 |
| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1881135895 | Humboldt Family Walk-in Clinic LLC | Clinic/Center | 1600 Coleman Dr, Humboldt, TN 38343-1756 | 2017-03-10 |
| Find all providers with the same taxonomy | ||||
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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.