WEST TENNESSEE MEDICAL GROUP, INC. (NPI# 1760780738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760780738 |
| Entity Type | Organization |
| Organization Name | WEST TENNESSEE MEDICAL GROUP, INC. |
| Other Organization Name | CAMDEN FAMILY MEDICAL CLINIC |
| Practice Address |
186 Hospital Dr Camden TN 38320-1618 |
| Practice Telephone | 7315843151 |
| Practice Fax Number | 7315843168 |
| Mailing Telephone | 7315843151 |
| Mailing Fax Number | 7315843168 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2016-04-29 |
| Authorized Official Name | MR. JAMES ROSS (INTERIM PRESIDENT AND CEO) |
| Authorized Official Telephone | 7315416730 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST TENNESSEE MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Camden Family Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497052104 | West Tennessee Medical Group, Inc. | Clinic/Center | 163 E Main St, Bradford, TN 38316-8650 | 2011-02-15 |
| 1750688479 | West Tennessee Medical Group, Inc. | Clinic/Center | 1700 Woodlawn Ave, Dyersburg, TN 38024-2028 | 2011-02-15 |
| Street Address |
186 HOSPITAL DR |
| City | CAMDEN |
| State | TN |
| Zip Code | 38320-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043587769 | Janet Warren | Dietitian, Registered | 186 Hospital Dr, Camden, TN 38320-1618 | 2011-11-23 |
| 1447429386 | Jennifer Dawn Davis | Nurse Practitioner | 186 Hospital Dr, Camden, TN 38320-1618 | 2008-02-25 |
| 1205860475 | Jackson Madison County General Hospital | Family Medicine | 186 Hospital Dr, Camden, TN 38320-1618 | 2006-07-11 |
| 1134154081 | Jason L Hollingsworth | Family Medicine | 186 Hospital Dr, Camden, TN 38320-1618 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525395 | Mickie Carter | Physician Assistant | 284 Hwy 641 N, Camden, TN 38320 | 2011-01-19 |
| 1447574249 | Virginia Margarita Peebles | Nurse Practitioner | 176 Briarwood Ave, Suite B, Camden, TN 38320 | 2010-03-23 |
| 1194857417 | Tron D Baker | Case Manager/Care Coordinator | 495 Liberty Rod, Camden, TN 38320 | 2007-03-12 |
| 1801968854 | Michael Eugene Bogard | Physical Therapist | 77 East Lake St, Camden, TN 38320 | 2006-11-14 |
| 1134217029 | Agustin V Vitualla | General Practice | 135 Hospital Dr, Camden, TN 38320 | 2006-10-10 |
| 1629000567 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 195 North 641, Camden, TN 38320 | 2006-07-07 |
| 1215995287 | Quality Home Health Care, Inc. | Home Health | 279 W Main St, Camden, TN 38320 | 2006-05-01 |
| 1285612564 | Camden Medical Clinic, Inc | Clinic/Center | 160 Hospital Dr., Camden, TN 38320 | 2006-01-06 |
| 1073513636 | William Hall Mcconnell | Optometrist | 194 W. Main St., Camden, TN 38320 | 2005-07-26 |
| 1790077139 | Ccc Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 115 Vicksburg Ave, Camden, TN 38320 | 2011-05-04 |
| Find all providers in zip 38320 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588173231 | Premise Health of Arkansas Medical P A | Clinic/Center | Highway 205, Highland Industrial Park, Camden, AR 71701-9998 | 2017-09-26 |
| 1023445699 | Northeast Pain Management | Clinic/Center | 1 Market St. #1c, Camden, NJ 08102 | 2013-09-27 |
| 1225397946 | Velez Professional Services LLC | Clinic/Center | 1000 Atlantic Ave Fl 1, Camden, NJ 08104-1132 | 2012-05-15 |
| 1659457901 | Communities In Schools Kershaw County | Clinic/Center | 905 West Dekalb Street, Suite A & F, Camden, SC 29020-9998 | 2006-10-30 |
| 1285612564 | Camden Medical Clinic, Inc | Clinic/Center | 160 Hospital Dr., Camden, TN 38320 | 2006-01-06 |
| 1730545567 | Lifecycles Health Services Inc | Clinic/Center | 433 N 7th St, First Floor, Camden, NJ 08102-2212 | 2016-01-09 |
| 1154591899 | Smith Chiropractic Clinic, Pllc | Clinic/Center | 258 W Main St, B, Camden, TN 38320-1644 | 2008-03-10 |
| 1447429493 | Camden Heart Care, LLC | Clinic/Center | 1045 W Dekalb St, Camden, SC 29020-4162 | 2008-02-25 |
| 1720153539 | Dr Sumpter D Blackmon Pa | Clinic/Center | 321 Whiskey Run Rd, Camden, AL 36726-2303 | 2006-11-21 |
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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.