Shane Kelley (NPI# 1891007605, PAC ID# 0648411256) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1891007605 |
| PAC ID by PECOS | 0648411256 |
| Professional Enrollment ID | I20130724000588 |
| Full Name | Shane Kelley |
| Organization Legal Name | SUMMIT MEDICAL GROUP, PLLC |
| Address |
149 Durham Dr Maynardville TN 37807-2925 |
| Phone Number | 8659922221 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2860396330 |
| Number of Group Practice Members | 346 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440120 | PHYSICIANS REGIONAL MEDICAL CENTER |
| 440015 | UNIVERSITY OF TN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 149 Durham Dr, Maynardville, TN 37807-2925 | 8659922221 | SUMMIT MEDICAL GROUP, PLLC |
| Organization Legal Name | SUMMIT MEDICAL GROUP, PLLC |
| Physicians | 391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri Gray | Nurse Practitioner | Summit Medical Group, Pllc | 8635 Middlebrook Pike, Knoxville, TN 37923-1612 |
| Jonathan Smith Dale | Family Medicine | Summit Medical Group, Pllc | 1208 Merchant Dr, Knoxville, TN 37912-4707 |
| Katherine Marie Stone | Family Medicine | Summit Medical Group, Pllc | 111 Station Dr, Maryville, TN 37804-4190 |
| Ashley N Smith | Nurse Practitioner | Summit Medical Group, Pllc | 4117 E Emory Rd, Knoxville, TN 37938-4229 |
| Jessica R Atchley | Nurse Practitioner | Summit Medical Group, Pllc | 641 Middle Creek Rd, Sevierville, TN 37862-5014 |
| Sara R Rowe | Nurse Practitioner | Summit Medical Group, Pllc | 6537 Kingston Pike, Knoxville, TN 37919-4826 |
| Allison L Suits | Physical Therapy | Summit Medical Group, Pllc | 103 Midlake Dr, Knoxville, TN 37918-3039 |
| Jacqueline Dotson | Nurse Practitioner | Summit Medical Group, Pllc | 103 Midlake Dr Level, Knoxville, TN 37918-3039 |
| Rachel W. Richards | Physical Therapy | Summit Medical Group, Pllc | 9333 Park W Blvd, Suite 102, Knoxville, TN 37923-4305 |
| Marissa N Turner | Physician Assistant | Summit Medical Group, Pllc | 603 Smithview Dr, Maryville, TN 37803-6100 |
| Street Address |
149 DURHAM DR |
| City | MAYNARDVILLE |
| State | TN |
| Zip | 37807-2925 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth H Nicley Jr. | Physician Assistant | Summit Medical Group, Pllc | 149 Durham Dr, Maynardville, TN 37807-2925 |
| Alan D Haney | Family Medicine | Summit Medical Group, Pllc | 149 Durham Dr, Maynardville, TN 37807-2925 |
| Kerry E Huntsinger | Nurse Practitioner | Summit Medical Group, Pllc | 149 Durham Dr, Maynardville, TN 37807-2925 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrell James Johnson | Chiropractic | 110 Skyline Dr, Maynardville, TN 37807-3063 | |
| Jianxiong Liu | Nurse Practitioner | Summit View Health Services LLC | 598 John Deere Dr, Maynardville, TN 37807-3212 |
| Emily L Harless | Nurse Practitioner | 2945 Maynardville Hwy 3, Maynardville, TN 37807-3247 | |
| Agnes Rafanan Abella | Physical Therapy | 2945 Maynardville Hwy, Suite 9 and 10, Maynardville, TN 37807-3247 | |
| Jessica R Warren | Nurse Practitioner | Ado Inc | 2975 Maynardville Hwy, Maynardville, TN 37807-3260 |
| Mary J Harlan | Nurse Practitioner | Quality Medical Center of Union County | 3459 Maynardville Hwy, Maynardville, TN 37807-3329 |
| Mary J Walker | Nurse Practitioner | Cherokee Health Systems | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 |
| Christina L Sanks | Nurse Practitioner | Cherokee Health Systems | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 |
| Matthew T Beason | Nurse Practitioner | Cherokee Health Systems | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 |
| Roxie K Williams | Clinical Social Worker | Cherokee Health Systems | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 |
| Find all physicians in zip 37807 | |||
| City | MAYNARDVILLE |
| Zip Code | 37807 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MAYNARDVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shane Kelley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.