NEIGHBORHOOD MEDICAL LLC (NPI# 1780008656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780008656 |
Entity Type | Organization |
Organization Name | NEIGHBORHOOD MEDICAL LLC |
Other Organization Name | NEIGHBORHOOD PRIMARY CARE |
Practice Address |
2702 Jacksboro Pike Suite B Jacksboro TN 37757-4850 |
Mailing Address |
Po Box 786 Jacksboro TN 37757-0786 |
Practice Telephone | 4232019937 |
Mailing Telephone | 4232019854 |
Enumeration Date | 2014-02-12 |
Last Update Date | 2019-04-25 |
Authorized Official Name | MRS. MELISSA JOYNER (OWNER) |
Authorized Official Telephone | 4234041994 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q010153 | 05 |
Other Name | Type Code |
---|---|
Neighborhood Primary Care | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
120 Tanner Pl, Clinton, TN 377166684 | 8652644012 | 4235674722 |
Street Address |
2702 JACKSBORO PIKE SUITE B |
City | JACKSBORO |
State | TN |
Zip Code | 37757-4850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447875166 | Jennifer Riley | Nurse Practitioner | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2020-06-09 |
1225652720 | Katherine Gresham | Nurse Practitioner | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2020-06-01 |
1750922902 | Jennifer Maria Muggridge | Nurse Practitioner | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2019-09-30 |
1104346667 | Anthony Baird | Physician Assistant | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2017-06-26 |
1326590175 | Amy Young | Nurse Practitioner | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2016-10-27 |
1316314768 | Rebecca Criswell | Nurse Practitioner | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2015-09-01 |
1417331059 | John Wesley Smiddy | Nurse Practitioner | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2015-07-14 |
1497144968 | Cara Jean Mccullah | Nurse Practitioner | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2015-01-21 |
1972917011 | Amy Schoenthaler | Nurse Practitioner | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2014-06-17 |
1538571716 | Velocity Medical, LLC | Clinic/Center | 2702 Jacksboro Pike, Jacksboro, TN 37757-4850 | 2014-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861809642 | Samantha Ross | Physical Therapy Assistant | 272 Gardner Lane, Jacksboro, TN 37757 | 2014-07-14 |
1225348493 | Summit Medical Group, Pllc | Internal Medicine | 163 Perkins Lane, Jacksboro, TN 37757 | 2010-10-20 |
1518112911 | Pediatric Professionals | Specialist | 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 | 2008-11-26 |
1992804827 | Riggs Drug Store | Pharmacy | 2636 Jacksboro Pike, Jacksboro, TN 37757 | 2006-09-21 |
1629536362 | Jacksboro Urgent Care | Clinic/Center | 2707 Jacksboro Pike, Suite 2, Jacksboro, TN 37757 | 2019-03-12 |
1942598305 | Thomas Wayne Robbins | Family Medicine | 2545 Jacksboro Pike, Jacksboro, TN 37757 | 2011-07-19 |
1841514155 | Margaret Reid Young | Nurse Practitioner | 136 Mountain Perkins Lane, Suite 2, Jacksboro, TN 37757 | 2010-03-16 |
1962540880 | State of Tennessee | Public Health or Welfare | 162 Sharp Perkins Road, Jacksboro, TN 37757 | 2007-02-02 |
1083868517 | Med-trans Corporation | Ambulance | 588 Memorial Lane, Jacksboro, TN 37757-0000 | 2008-11-11 |
1780722975 | Wanda F Tackett | Registered Nurse | 162 Sharp Perkins Road, Jacksboro, TN 37757-0418 | 2007-02-01 |
Find all providers in zip 37757 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972043214 | Eastlake Primary Care LLC | Clinic/Center | 2500 Jacksboro Pike Ste 6, Jacksboro, TN 37757-2818 | 2017-03-06 |
1578939542 | Appa LLC | Clinic/Center | 3170 Appalachian Hwy, Jacksboro, TN 37757-5500 | 2015-08-13 |
1770750945 | Sushil B. Chokshi, M.d., P.a. | Clinic/Center | 217 W Belknap St, Jacksboro, TX 76458-2307 | 2008-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780281527 | Braxton Medical Clinic, LLC | Clinic/Center | 1410 Kensington Square Ct Ste 103, Murfreesboro, TN 37130-6902 | 2020-10-05 |
1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
1700411592 | Fentress Family Care LLC | Clinic/Center | 1010 Old Highway 127 S, Jamestown, TN 38556-5648 | 2020-03-11 |
1831724822 | Guiding Star Memphis | Clinic/Center | 2980 Poplar Ave Ste 101, Memphis, TN 38111-3527 | 2020-03-10 |
1407486764 | Elijahs Dream Compassionate Care | Clinic/Center | 134 Creekside Dr Ste 1, Ocoee, TN 37361-3653 | 2020-01-24 |
1518506542 | Faith Medical Group, Pllc | Clinic/Center | 500 Mcfarland St Ste E, Morristown, TN 37814-3992 | 2019-12-20 |
1366080582 | Matthew E. Schantz, M.d. | Clinic/Center | 206 S Military St Ste 1, Loretto, TN 38469-2101 | 2019-12-18 |
1114563749 | Step One Medical Associates PC | Clinic/Center | 4502 Bristol Hwy, Johnson City, TN 37601-2936 | 2019-11-19 |
1023665403 | Elite Healthcare, LLC | Clinic/Center | 117 N 3rd St, Kingston, TN 37763-2842 | 2019-08-21 |
1083266381 | Get Into Shape Md | Clinic/Center | 5803 Lee Hwy Ste 101, Chattanooga, TN 37421-3547 | 2019-07-16 |
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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.