PROXIMA CENTAURI, PLLC (NPI# 1982972857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982972857 |
| Entity Type | Organization |
| Organization Name | PROXIMA CENTAURI, PLLC |
| Other Organization Name | LINCOLN TREE MEDICAL CLINIC OF TULLAHOMA, PLLC |
| Practice Address |
1600 Mcarthur St Manchester TN 37355-2522 |
| Mailing Address |
Po Box 437 Manchester TN 37349-0437 |
| Practice Telephone | 9317237950 |
| Practice Fax Number | 9317237950 |
| Mailing Telephone | 9317237950 |
| Mailing Fax Number | 9317237815 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2012-10-31 |
| Authorized Official Name | JAMES EDWARDS ROTH (PRESIDENT) |
| Authorized Official Telephone | 9317237950 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lincoln Tree Medical Clinic of Tullahoma, PLLC | Doing Business As Name - Organization |
| Street Address |
1600 MCARTHUR ST |
| City | MANCHESTER |
| State | TN |
| Zip Code | 37355-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437105608 | James Edward Roth | Anesthesiology | 1600 Mcarthur St, Manchester, TN 37355-2522 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659857126 | Ashley Harmon Layne | Speech-Language Pathologist | 205 S Woodland St, Manchester, TN 37355 | 2018-07-17 |
| 1760996771 | Quad/med, LLC | Clinic/Center | 227 Monogard Rd, Manchester, TN 37355 | 2017-11-29 |
| 1881108157 | Sarabeth Seagreaves | Specialist/Technologist | 1700 Summer St Apt A36, Manchester, TN 37355 | 2017-11-25 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1316361561 | Charlotte Gibbs | Counselor | 482 Interstate Dr Ste D, Manchester, TN 37355 | 2014-02-08 |
| 1205258191 | Aleene Marie Falk | Social Worker | 218 Forrestwood Drive, Manchester, TN 37355 | 2014-01-10 |
| 1790067429 | Reda Lynn Lawson | Registered Nurse | 800 Parks Street, Manchester, TN 37355 | 2011-09-20 |
| 1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1982761441 | Richard Eugene Fishbein | Orthopaedic Surgery | 102 East High Street, Manchester, TN 37355 | 2007-01-03 |
| Find all providers in zip 37355 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942381207 | Banyan Healthcare & Wellness Center, LLC | Clinic/Center | 1030 Mcarthur St, Manchester, TN 37355-2453 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733167 | Ortho Sport & Spine Physicians Nashville | Clinic/Center | 900 Harpeth Valley Pl, Nashville, TN 37221-1141 | 2020-06-04 |
| 1033694724 | Pain Institute of Nashville, Plc | Clinic/Center | 491 Sage Rd N # 100, White House, TN 37188-9360 | 2018-09-27 |
| 1073049102 | Pain Institute of Nashville, Plc | Clinic/Center | 1849 Madison St Ste F, Clarksville, TN 37043-4903 | 2017-05-10 |
| 1225444748 | Hope Health, LLC | Clinic/Center | 86 Thompson Ln, Nashville, TN 37211-2548 | 2014-07-03 |
| 1376971085 | Quality Health Clinic LLC | Clinic/Center | 7348 Middlebrook Pike Suite D, Knoxville, TN 37909 | 2013-10-16 |
| 1487081758 | Tn Premier Care LLC | Clinic/Center | 3609 Outdoor Sportsman Pl Ste 7, Kodak, TN 37764 | 2013-10-02 |
| 1740554393 | Serenity Health Consultants, Inc. | Clinic/Center | 111 Gill St, Alcoa, TN 37701-2672 | 2012-02-29 |
| 1922304500 | Vonore Pain Management | Clinic/Center | 1255 Highway 411, Suite 6, Vonore, TN 37885-2457 | 2011-01-31 |
| 1912922428 | Carl S Blankenship | Clinic/Center | 1219 Mcgavock St, Nashville, TN 37203-3129 | 2006-07-13 |
| 1245263292 | Chattanooga Pain Management Center LLC | Clinic/Center | 1016 Executive Dr, Hixson, TN 37343-3995 | 2006-07-09 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 37355 |
Please comment or provide details below to improve the information on PROXIMA CENTAURI, PLLC.
| 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.