NEWBERN MEDICAL CLINIC, PC (NPI# 1790978294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790978294 |
| Entity Type | Organization |
| Organization Name | NEWBERN MEDICAL CLINIC, PC |
| Practice Address |
105 N Monroe St Newbern TN 38059-1214 |
| Practice Telephone | 7316270734 |
| Practice Fax Number | 7316270736 |
| Mailing Telephone | 7316270734 |
| Mailing Fax Number | 7316270736 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |
| Authorized Official Name | BEVERLY MCCANN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 7316270734 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
APN5297 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE | 3727670 | 01 |
| Street Address |
105 N MONROE ST |
| City | NEWBERN |
| State | TN |
| Zip Code | 38059-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723056 | Kelly Alexandria Harden | Nurse Practitioner | 105 N Monroe St, Newbern, TN 38059-1214 | 2005-07-13 |
| 1275634214 | Beverly D Mccann | Nurse Practitioner | 105 N Monroe St, Newbern, TN 38059-1214 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912001017 | Christy R Newbaker | Durable Medical Equipment & Medical Supplies | 126 East Main Street, Newbern, TN 38059 | 2006-09-11 |
| 1760428254 | Ma Davis Enterprises, LLC | Pharmacy | 625 W Main St., Suite A, Newbern, TN 38059 | 2006-06-21 |
| 1023002631 | Lisa Castellaw Hunt | Nurse Practitioner | 624 Nora Drive, Newbern, TN 38059 | 2005-09-09 |
| 1083107205 | Ma Davis Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 625 W Main St., Suite A., Newbern, TN 38059 | 2018-06-12 |
| 1982918264 | Wanda Faye Smith | Registered Nurse | 126 East Main Street, Newbern, TN 38059 | 2010-07-29 |
| 1366756660 | Clint Edward Myers | Pharmacist | 126 East Main Street, Newbern, TN 38059 | 2010-07-29 |
| 1902110208 | David Allen Newbaker | Pharmacist | 126 East Main Street, Newbern, TN 38059 | 2010-07-29 |
| 1801971668 | Brandon Lee Dodds | Optometrist | 631 W Main St, Dodds Eye Care Plc, Newbern, TN 38059 | 2006-10-27 |
| 1548394562 | Family Care, P.C. | Family Medicine | 108 East Dr, Newbern, TN 38059-1404 | 2007-03-14 |
| 1285008367 | Laura Beth West | Family Medicine | 108 East Dr, Newbern, TN 38059-1404 | 2015-11-30 |
| Find all providers in zip 38059 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 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 |
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| Find all providers with the same taxonomy | ||||
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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.