RANDY MILLARD WILKES JR. (NPI# 1699395194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699395194 |
| Entity Type | Individual |
| Full Name | RANDY MILLARD WILKES JR. |
| Credential | ATC |
| Practice Address |
2313 Quail Nest Cir Chattanooga TN 37421-1364 |
| Practice Telephone | 4232984643 |
| Mailing Telephone | 4232984643 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
881 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
2313 QUAIL NEST CIR |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-1364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700406568 | Marilyn Breanne Elizabeth Hudson | Physical Medicine & Rehabilitation | 1700 Parker St Ne, Cleveland, TN 37311-3731 | 2020-04-22 |
| 1306470042 | Katherine Anne Upchurch | Physical Medicine & Rehabilitation | 6191 Park Ave, Memphis, TN 38119-5399 | 2020-03-02 |
| 1891349270 | Georgia Katherine Hopkins | Physical Medicine & Rehabilitation | 25 Buckthorn Cv, Jackson, TN 38305-6653 | 2019-07-24 |
| 1083172936 | Eugene Wayne Dupas Jr. | Physical Medicine & Rehabilitation | 7628 Tazewell Pike, Corryton, TN 37721-2910 | 2019-03-11 |
| 1124598677 | Skyler Shanelle O'dell | Physical Medicine & Rehabilitation | 9041 Executive Park Dr Ste 118, Knoxville, TN 37923-4603 | 2018-11-27 |
| 1154720654 | Carissa Andres | Physical Medicine & Rehabilitation | 170 Community Center Drive, Pigeon Forge, TN 37863 | 2014-08-20 |
| 1477671238 | Eduardo Vargas Cruz | Physical Medicine & Rehabilitation | 2795 Appling Rd, Suite 111, Memphis, TN 38133-5078 | 2007-03-27 |
| 1114094935 | George Thomas Morgan | Physical Medicine & Rehabilitation | 1805 Williamson Court, Brentwood, TN 37027 | 2006-11-29 |
| 1821614082 | Brandon Neds | Physical Medicine & Rehabilitation | 5000 Crossings Cir, Mt Juliet, TN 37122-8592 | 2020-06-23 |
| 1457982019 | Harpeth Ortho Urgent PC | Physical Medicine & Rehabilitation | 5000 Crossings Cir Ste 101, Mount Juliet, TN 37122-8591 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.