DYERSBURG FAMILY WALK-IN CLINIC (NPI# 1689132193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689132193 |
| Entity Type | Organization |
| Organization Name | DYERSBURG FAMILY WALK-IN CLINIC |
| Practice Address |
193 Jim Adams Dr Paris TN 38242-4965 |
| Practice Telephone | 7319249992 |
| Practice Fax Number | 7319249501 |
| Mailing Telephone | 7319249992 |
| Mailing Fax Number | 7319249501 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | SHERYL LYN WRIGHT (CEO) |
| Authorized Official Telephone | 7312856110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Neighborhood Walk-In Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376832436 | Dyersburg Family Walk-in Clinic | Nurse Practitioner | 1509 E Reelfoot Ave, Union City, TN 38261-5845 | 2011-03-29 |
| 1174712780 | Dyersburg Family Walk-in Clinic | Clinic/Center | 1954 St John Ave, Suite 1, Dyersburg, TN 38024 | 2007-10-19 |
| Street Address |
193 JIM ADAMS DR |
| City | PARIS |
| State | TN |
| Zip Code | 38242-4965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790735736 | Mary Beth Parks | Nurse Practitioner | 193 Jim Adams Dr, Paris, TN 38242-4965 | 2006-05-11 |
| 1619344231 | Melissa Steele | Nurse Practitioner | 193 Jim Adams Dr, Paris, TN 38242-4965 | 2015-08-31 |
| 1962837450 | Melinda A Knott | Nurse Practitioner | 193 Jim Adams Dr, Paris, TN 38242-4965 | 2013-09-04 |
| 1265717193 | Karen Elizabeth Thompson | Physician Assistant | 193 Jim Adams Dr, Paris, TN 38242-4965 | 2011-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374732 | Renee Michelle Girouard | Physician Assistant | 209 B Tyson Ave, Paris, TN 38242 | 2020-04-07 |
| 1255960134 | Alexander P Patrone | Student in an Organized Health Care Education/Training Program | 302b Tyson Ave, Paris, TN 38242 | 2020-04-03 |
| 1457980302 | Aswathy Krishnakumar | Student in an Organized Health Care Education/Training Program | 302b Tyson Avenue, Paris, TN 38242 | 2020-04-03 |
| 1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
| 1588199152 | Taylor Wilson | Dentist | 3485 Highway 79 N, Paris, TN 38242 | 2017-04-20 |
| 1215472592 | Elizabeth Lane Mcintosh | Behavioral Analyst | 28 Fieldstone Dr, Paris, TN 38242 | 2016-12-22 |
| 1124574959 | Patty Wilson | Counselor | 2555 E. Wood Street, Paris, TN 38242 | 2016-08-31 |
| 1942601539 | Trustworthy Anesthesia Care | Nurse Anesthetist, Certified Registered | 1010 Green Hill Dr, Paris, TN 38242 | 2014-09-15 |
| 1083963946 | West Tennessee Physical Medicine, Pllc | General Practice | 1024 Mineral Wells Avenue, Paris, TN 38242 | 2012-09-06 |
| 1316242514 | Henry Co. Health Dept. | Skilled Nursing Facility | 803 Joy St., Paris, TN 38242 | 2011-01-19 |
| Find all providers in zip 38242 | ||||
| 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 |
|---|---|---|---|---|
| 1962973727 | Paris Best Kept Secret Med Spa, LLC | Family Medicine | 2600 Lamar Avenue, Paris, TX 75460-4864 | 2018-12-05 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1831532241 | Deepak Bacharanianda Muthappa | Family Medicine | 1601 Lamar Ave, Paris, TX 76560-4660 | 2013-04-16 |
| 1508122250 | Cooper Clinic Pa | Family Medicine | 2000 E Wood St Rm 1, Paris, AR 72855-2621 | 2012-04-06 |
| 1609178052 | Eric Mark Concors | Family Medicine | 1518 Lamar Ave, #109, Paris, TX 75460-4685 | 2010-11-17 |
| 1306150974 | Alison Leigh Petras | Family Medicine | 8 Linville Dr Ste A, Paris, KY 40361-2128 | 2010-08-05 |
| 1124330204 | Myers Robinson Hurt IIi | Family Medicine | 1128 Clarksville St Ste 100, Paris, TX 75460 | 2010-07-06 |
| 1134251614 | Dinnie C Lim | Family Medicine | 230 S High St, Paris, IL 61944-2282 | 2007-03-11 |
| 1225177710 | Kent L Davis | Family Medicine | 274 E Main St, Paris, KY 40361-2124 | 2007-02-05 |
| 1760546782 | Hospital & Medical Foundation of Paris Inc | Family Medicine | 1 Phipps Lane, Paris, IL 61944 | 2006-12-21 |
| Find all providers in PARIS | ||||
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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.