DIABETES MANAGEMENT ASSOCIATES


Address: 401 First Avenue, Mt. Pleasant, TN 38474
Phone: 9313255560

DIABETES MANAGEMENT ASSOCIATES (NPI# 1750891677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750891677
Entity Type Organization
Organization Name DIABETES MANAGEMENT ASSOCIATES
Practice Address 401 First Avenue
Mt. Pleasant
TN 38474
Practice Telephone 9313255560
Mailing Telephone 9313255560
Enumeration Date 2017-10-05
Last Update Date 2017-10-05
Authorized Official Name JULIE SUE WOOD (OWNER)
Authorized Official Telephone 9313255560
Authorized Official Credential DNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WD0400X Registered Nurse
Specialization: Diabetes Educator
74273 TN Nursing Service Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
6172 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 401 FIRST AVENUE
City MT. PLEASANT
State TN
Zip Code 38474

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124107354 Tadd T Thompson Family Medicine 4955 D Hwy 43 North, Mount Pleasant, TN 38474 2006-11-06
1275611600 Delia Fernandez Dentist 703 N. Main St., Mt. Pleasant, TN 38474 2006-11-02
1659485183 Charles Vance Hendrickson Dentist 703 N Main St, Mt Pleasant, TN 38474 2006-08-19
1225246630 Carolyns Transportation Non-emergency Medical Transport (VAN) 108 Iris Dr, Mt Pleasant, TN 38474-1009 2007-05-18
1902909385 Michael L Tyler Dentist 703 North Main Street, Mt Pleasant, TN 38474-1015 2006-09-07
1083181531 Michael L. Tyler Dds Clinic/Center 703 N Main St, Mt Pleasant, TN 38474-1015 2018-11-01
1235619271 Lynn Ruch Physical Therapist 815 N Main St, Mt Pleasant, TN 38474-1017 2018-08-20
1235639584 Fast Pace Medical Clinic, Pllc Family Medicine 811 N Main St, Mt Pleasant, TN 38474-1017 2018-02-13
1174048268 Walgreen Co Pharmacy 801 N Main St, Mt Pleasant, TN 38474-1017 2017-08-09
1952796575 Mary Houston Hull Registered Nurse 811 N Main St, Mount Pleasant, TN 38474-1017 2015-03-31
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1033724349 Tatum Lee Severino I Nurse Practitioner 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 2020-09-14
1871106930 Munira Asif Nurse Practitioner 874 Schilling Farm Rd Apt 106, Collierville, TN 38017-7039 2020-08-28
1669000840 Tekeyla Warfield Nurse Practitioner 2980 Poplar Ave, Memphis, TN 38111-3527 2020-04-01
1578197836 Jessica Pratt Nurse Practitioner 512 Marbury Rd, Tullahoma, TN 37388-2142 2020-02-26
1730729278 Anna Abigail Markus Nurse Practitioner 211 Long Branch Rd, Lawrenceburg, TN 38464-5400 2020-01-13
1023653037 Staci Garner Nurse Practitioner 2508 Highway 130, Petersburg, TN 37144-8001 2019-11-13
1881238533 Janna Rae Haskins Nurse Practitioner 5137 Vinnie Dell Drive, Chapel Hill, TN 37034 2019-11-05
1124676325 Marde M Walker Nurse Practitioner 8225 Highway 51 North, Millington, TN 38053 2019-08-30
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Competitor

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City MT. PLEASANT
Zip Code 38474

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Dataset Information

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.

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