WELLMONT MEDICAL ASSOCIATES, INC. (NPI# 1689032575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689032575 |
Entity Type | Organization |
Organization Name | WELLMONT MEDICAL ASSOCIATES, INC. |
Other Organization Name | BALLAD HEALTH MEDICAL ASSOCIATES |
Practice Address |
405 Scenic Dr Suite A Rogersville TN 37857-2441 |
Mailing Address |
105 W Stone Dr Suite 6a Kingsport TN 37660-3365 |
Practice Telephone | 4239213490 |
Practice Fax Number | 4232727667 |
Mailing Telephone | 4234087220 |
Mailing Fax Number | 4234087405 |
Enumeration Date | 2016-02-05 |
Last Update Date | 2019-04-01 |
Authorized Official Name | CINDY L HALLFORD (DIRECTOR OF PROFESSIONAL BILLING) |
Authorized Official Telephone | 4234087220 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Ballad Health Medical Associates | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386159523 | Wellmont Medical Associates, Inc. | Clinic/Center | 1021 Coolidge St Ste 4, Greeneville, TN 37743-5986 | 2017-12-11 |
1558812198 | Wellmont Medical Associates, Inc. | Clinic/Center | 2686 W State St, Bristol, TN 37620-1817 | 2016-10-19 |
1144770934 | Wellmont Medical Associates, Inc. | Clinic/Center | 115 Judge Gresham Rd, Suite A, Gray, TN 37615-6213 | 2016-10-05 |
1104286194 | Wellmont Medical Associates, Inc. | Clinical Medical Laboratory | 4485 W Stone Dr, Suite 200, Kingsport, TN 37660-1050 | 2016-03-03 |
1598124398 | Wellmont Medical Associates, Inc. | Clinic/Center | 111 W Stone Dr, Suite 110, Kingsport, TN 37660-6027 | 2016-02-22 |
1770942575 | Wellmont Medical Associates, Inc. | Clinic/Center | 1220 Volunteer Pkwy, Bristol, TN 37620-4628 | 2016-02-22 |
1295193183 | Wellmont Medical Associates, Inc. | Clinic/Center | 410 Stagecoach Rd, Bristol, VA 24201-8359 | 2016-02-05 |
1639537525 | Wellmont Medical Associates, Inc. | Clinic/Center | 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 | 2016-02-05 |
1154789030 | Wellmont Medical Associates, Inc. | Clinic/Center | 378 Marketplace Dr, Suite 5, Johnson City, TN 37604-2361 | 2016-02-05 |
1003274994 | Wellmont Medical Associates, Inc. | Clinic/Center | 601 Commonwealth Dr, Norton, VA 24273-4053 | 2016-02-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | WELLMONT MEDICAL ASSOCIATES, INC. | 130 W Ravine Rd, Kingsport, TN 37660-3837 |
Street Address |
405 SCENIC DR SUITE A |
City | ROGERSVILLE |
State | TN |
Zip Code | 37857-2441 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548241896 | Teresa Spring Harper | Social Worker | 405 Scenic Dr, Rogersville, TN 37857-2441 | 2005-11-11 |
1477100113 | Brooke Leanna Carver | Nurse Practitioner | 405 Scenic Dr, Rogersville, TN 37857-2441 | 2019-08-19 |
1194193102 | Lori A. Correll | Registered Nurse | 405 Scenic Dr, Rogersville, TN 37857-2441 | 2015-09-08 |
1497194740 | Allie Blackwell | Nurse Practitioner | 405 Scenic Dr, Rogersville, TN 37857-2441 | 2013-06-20 |
1093978330 | Amanda A Dove | Family Medicine | 405 Scenic Dr, Rogersville, TN 37857-2441 | 2008-07-08 |
1861688533 | Liliana Murillo | Internal Medicine | 405 Scenic Dr, Rogersville, TN 37857-2441 | 2007-09-17 |
1275547234 | Lata Shah | Internal Medicine | 405 Scenic Dr, Rogersville, TN 37857-2441 | 2006-07-27 |
1063431781 | Tammy Baird | Nurse Practitioner | 405 Scenic Dr, Rogersville, TN 37857-2441 | 2006-07-19 |
1871543926 | Amy Haynes | Family Medicine | 405 Scenic Dr, Rogersville, TN 37857-2441 | 2006-05-11 |
1003871526 | Blaine Jones | Family Medicine | 405 Scenic Dr, Rogersville, TN 37857-2441 | 2006-04-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942766852 | Alaina M Kuebler | Occupational Therapist | 109 Tn-70, Rogersville, TN 37857 | 2019-02-15 |
1366823460 | Crystal L Stiltner | Family Medicine | 405 Scenic Dr Ste B, Rogersville, TN 37857 | 2015-06-15 |
1689867715 | Louis V Salamina | Chiropractor | 952 W. Broadway Suite 100, Rogersville, TN 37857 | 2007-08-22 |
1538224464 | Timothy D. Gunnin, D.d.s., P.C. | Dentist | 110 South Hasson Street, Rogersville, TN 37857 | 2006-12-22 |
1952464232 | Timothy Davis Gunnin | Dentist | 110 South Hasson St, Rogersville, TN 37857 | 2006-12-18 |
1043393358 | Andrew John Morgan | Case Manager/Care Coordinator | 101 Lena Dr., Rogersville, TN 37857 | 2006-10-23 |
1922191428 | Hometown Home Health Care, Inc. | Home Health | 121 Forest Hills Rd., Suite B, Rogersville, TN 37857 | 2006-10-02 |
1689687733 | Randall Paul Weaver | Social Worker | 101 Lena Drive, Hawkins Cn Mental Health Ctr, Rogersville, TN 37857 | 2006-08-13 |
1194754234 | Blue Ridge Medical Management Corporation | Internal Medicine | Health Link of Rogersville, 900 West Main Street, Rogersville, TN 37857 | 2006-07-01 |
1497700629 | James Robertson Price | Pharmacist | 4017 Highway 66 #7, Rogersville, TN 37857 | 2006-05-24 |
Find all providers in zip 37857 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134749906 | Three Rivers Medical | Clinic/Center | 2725 E Governor John Sevier Hwy, Knoxville, TN 37914-6620 | 2020-04-22 |
1487273702 | Sanitas Medical Center of Tennessee PC | Clinic/Center | 1632 Memorial Blvd Ste 1646, Murfreesboro, TN 37129-2104 | 2020-04-16 |
1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
1194380568 | Advanced Urgent Care Pllc | Clinic/Center | 455 N Chancery St Ste A, Mcminnville, TN 37110-2049 | 2019-05-01 |
1295208874 | Lwc Sevice Providers LLP | Clinic/Center | 111 Ellison Rd Ste 2, La Follette, TN 37766-3025 | 2019-01-07 |
1639655368 | Bunker Hill Staffing Urgent Care LLC | Clinic/Center | 1300 Bunker Hill Rd Ste B, Cookeville, TN 38506 | 2018-07-16 |
1386159523 | Wellmont Medical Associates, Inc. | Clinic/Center | 1021 Coolidge St Ste 4, Greeneville, TN 37743-5986 | 2017-12-11 |
1245754043 | Green River Medical Clinic, LLC | Clinic/Center | 315 Robert Rose Dr Ste F, Murfreesboro, TN 37129-6361 | 2017-08-02 |
1235669680 | Uhs Ventures | Clinic/Center | 1130 Middle Creek Rd Ste 290, Sevierville, TN 37862-3051 | 2017-06-19 |
1477087658 | Urgent Care Enterprise LLC | Clinic/Center | 5304 Cane Ridge Rd, Antioch, TN 37013-3839 | 2017-04-14 |
Find all providers with the same taxonomy |
City | ROGERSVILLE |
Zip Code | 37857 |
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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.