MONTCLAIR HEALTH AND WELLNESS LLC (NPI# 1821481979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821481979 |
| Entity Type | Organization |
| Organization Name | MONTCLAIR HEALTH AND WELLNESS LLC |
| Other Organization Name | SPECIALTY ASSOCIATES |
| Practice Address |
710 Cornersville Rd Lewisburg TN 37091-4115 |
| Practice Telephone | 9319945717 |
| Practice Fax Number | 9312464233 |
| Mailing Telephone | 9319945717 |
| Mailing Fax Number | 9312464233 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |
| Authorized Official Name | EDITH A WILES (OFFICE MANAGER) |
| Authorized Official Telephone | 9319945717 |
| 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 | MEDICARE PTAN 103G706807 | Q005482 | 01 |
| Other Name | Type Code |
|---|---|
| SPECIALTY ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013216498 | Montclair Health and Wellness LLC | Nurse Practitioner | 710 Cornersville Rd, Lewisburg, TN 37091 | 2011-03-24 |
| Street Address |
710 CORNERSVILLE RD |
| City | LEWISBURG |
| State | TN |
| Zip Code | 37091-4115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760448500 | Edward D White Jr. | Nurse Practitioner | 710 Cornersville Rd, Lewisburg, TN 37091 | 2006-04-21 |
| 1013216498 | Montclair Health and Wellness LLC | Nurse Practitioner | 710 Cornersville Rd, Lewisburg, TN 37091 | 2011-03-24 |
| 1164619177 | Pamela D White | Nurse Practitioner | 710 Cornersville Rd, Lewisburg, TN 37091 | 2007-10-03 |
| 1417900820 | Dennis Mccracken | Emergency Medicine | 710 Cornersville Rd, Lewisburg, TN 37091 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168817 | South Medical Clinic LLC | Family Medicine | 118 2nd Ave South, Lewisburg, TN 37091 | 2020-03-04 |
| 1063968345 | Joe Swinney IIi | Case Management | 3756 Tom Littlejohn Rd, Lewisburg, TN 37091 | 2016-08-28 |
| 1396142485 | The Estate of P. Laray Rector | Dentist | 553 W Commerce St, Lewisburg, TN 37091 | 2014-12-04 |
| 1093958092 | Tamara Carolynn Holley | Case Manager/Care Coordinator | 1603 Nashville Highway, Lewisburg, TN 37091 | 2009-04-07 |
| 1285897793 | Jennifer Val Neel | Nurse Practitioner | 329 West Commerce Street, Lewisburg, TN 37091 | 2008-07-03 |
| 1316138639 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1030 War Eagle Drive, Lewisburg, TN 37091 | 2007-08-05 |
| 1568561850 | John Woodson Carter | Dentist | 1085 N Ellington Pkwy, Lewisburg, TN 37091 | 2006-09-22 |
| 1508882671 | Kenneth J Phelps Jr. | Family Medicine | 304 W Church St, Lewisburg, TN 37091 | 2006-07-14 |
| 1548243348 | Air Evac Ems Inc | Ambulance | 1879 Franklin Pike, Lewisburg, TN 37091 | 2005-11-25 |
| 1386035210 | Holly Nachole Garland | Nurse Practitioner | 304 W Church St, Lewisburg, TN 37091 | 2015-02-13 |
| Find all providers in zip 37091 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1417071812 | New Covenant Pediatric Center, Pllc | Clinic/Center | Rr 2 Box 375g, Lewisburg, WV 24901-9346 | 2007-03-19 |
| 1609867449 | Douglas A. Spotts, Md Family Medical Care, PC | Clinic/Center | 45 Forestwood Dr, Lewisburg, PA 17837-6213 | 2005-11-01 |
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| 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.