CHOTA COMMUNITY HEALTH SERVICES (NPI# 1649540840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649540840 |
| Entity Type | Organization |
| Organization Name | CHOTA COMMUNITY HEALTH SERVICES |
| Other Organization Name | MADISONVILLE MIDDLE SCHOOL BASED CLINIC |
| Practice Address |
1000 Green Rd Madisonville TN 37354-7062 |
| Mailing Address |
Po Box 278 Madisonville TN 37354-0278 |
| Practice Telephone | 4234424154 |
| Mailing Telephone | 4234422622 |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |
| Authorized Official Name | DR. BARBARA LEVIN (CEO) |
| Authorized Official Telephone | 4234427268 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CHOTA COMMUNITY HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Madisonville Middle School Based Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568710515 | Chota Community Health Services | Social Worker | 268 Warren St, Madisonville, TN 37354-1050 | 2012-08-23 |
| 1033467089 | Chota Community Health Services | Social Worker | 130 Ruritan Rd, Tellico Plains, TN 37385-6075 | 2012-08-23 |
| 1871841825 | Chota Community Health Services | Social Worker | 120 Old High School Rd, Tellico Plains, TN 37385-4922 | 2012-08-23 |
| 1407104458 | Chota Community Health Services | Social Worker | 395 Daugherty Spring Rd, Tellico Plains, TN 37385-5604 | 2012-08-23 |
| 1730459934 | Chota Community Health Services | Social Worker | 1135 Highway 411, Vonore, TN 37885-2437 | 2012-01-04 |
| 1790055259 | Chota Community Health Services | Social Worker | 414 Hall St, Vonore, TN 37885-2338 | 2011-12-30 |
| 1063782522 | Chota Community Health Services | Social Worker | 3128 Highway 411, Madisonville, TN 37354-6352 | 2011-12-30 |
| 1972873438 | Chota Community Health Services | Social Worker | 9180 New Highway 68, Tellico Plains, TN 37385-5341 | 2011-12-30 |
| 1376812636 | Chota Community Health Services | Social Worker | 414 S High St, Sweetwater, TN 37874-2437 | 2011-12-15 |
| 1801834221 | Chota Community Health Services | Clinic/Center | 412 Hunt St, Tellico Plains, TN 37385-5046 | 2006-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHOTA COMMUNITY HEALTH SERVICES | 1255 Hwy 411 Ste 6, Vonore, TN 37885-2457 |
| Street Address |
1000 GREEN RD |
| City | MADISONVILLE |
| State | TN |
| Zip Code | 37354-7062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720297831 | Tracie Thompson Hall | Social Worker | 1000 Green Rd, Madisonville, TN 37354-6457 | 2007-05-22 |
| 1679821623 | Chota Community Health Services | Social Worker | 1000 Green Rd, Madisonville, TN 37354-7062 | 2012-08-23 |
| 1912199274 | Kristi Michelle Atkins | Counselor | 1000 Green Rd, Madisonville, TN 37354-6457 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487043568 | Tracy Andel | Registered Nurse | 3469 North Highway 68, Madisonville, TN 37354 | 2015-01-13 |
| 1053454876 | Tennie Clarice Lewis | Registered Nurse | 3439 New Hwy 68, Madisonville, TN 37354 | 2007-02-14 |
| 1669527230 | State of Tennessee | Clinic/Center | 3469 New Highway 68, Madisonville, TN 37354 | 2007-01-24 |
| 1306801907 | East Tennessee Health Care Inc | Skilled Nursing Facility | 465 Isbill Rd, Madisonville, TN 37354 | 2006-04-18 |
| 1386609956 | Tamela K King | Social Worker | 520 Cook Street, Madisonville, TN 37354 | 2006-04-18 |
| 1710958129 | Gary Lee Fields | Chiropractor | 4900 New Hwy 68, Madisonville, TN 37354 | 2006-02-01 |
| 1720086929 | Mitzi Suzanne Mcbride | Social Worker | 119 Pedigo Road, Suite F, Madisonville, TN 37354 | 2005-07-12 |
| 1437601036 | Starla Swaney | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354 | 2016-10-30 |
| 1144610304 | Laura Jo Vacheresse | Social Worker | 4798 New Highway 68, Madisonville, TN 37354 | 2015-01-27 |
| 1205122587 | Linda W Boyatt | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354 | 2011-06-24 |
| Find all providers in zip 37354 | ||||
| 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 |
|---|---|---|---|---|
| 1952723165 | S&t Beverley, LLC | Family Medicine | 321 Tellico St S, Madisonville, TN 37354-1194 | 2014-01-08 |
| 1285955443 | Madisonville Medical Corp. | Family Medicine | 216 Hwy 21, Madisonville, LA 70447 | 2010-06-22 |
| 1457510646 | Sheila Ann Maddox | Family Medicine | 402 Saint Tammany St, Madisonville, LA 70447-9713 | 2008-06-03 |
| 1760660765 | John Haastrup | Family Medicine | 912 N Kentucky Ave # A16, Madisonville, KY 42431-1663 | 2008-02-01 |
| 1720197437 | Grover Cleveland Hubley Jr. | Family Medicine | 813 South State Street Suite 100, Madisonville, TX 77864 | 2006-08-29 |
| 1508803370 | Family Practice Associates, PC | Family Medicine | 4233 Highway 411, Madisonville, TN 37354-1571 | 2006-06-01 |
| 1083651533 | Tracey D Beverley | Family Medicine | 321 Tellico Street, Madisonville, TN 37354-1194 | 2006-06-01 |
| 1952354524 | Horizon Clinic LLC | Family Medicine | 435 N Kentucky Ave, Madisonville, KY 42431-1768 | 2006-05-18 |
| 1114988094 | Mary Helen Morrow | Family Medicine | 604 S Madison St, Madisonville, TX 77864-1956 | 2006-03-30 |
| 1487615787 | Stacey B. Fazenbaker | Family Medicine | 240 Ayer Pkwy E, Madisonville, KY 42431-8999 | 2006-03-28 |
| Find all providers in MADISONVILLE | ||||
| City | MADISONVILLE |
| Zip Code | 37354 |
Please comment or provide details below to improve the information on CHOTA COMMUNITY HEALTH SERVICES.
| 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.