Loren S Carroll (NPI# 1104168178, PAC ID# 0749409209) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104168178 |
| PAC ID by PECOS | 0749409209 |
| Professional Enrollment ID | I20150421001883 |
| Full Name | Loren S Carroll |
| Organization Legal Name | ULTRA HEALTH LLC |
| Address |
36 Pemberton Cv Jackson TN 38305-5514 |
| Phone Number | 7312348120 |
| Gender | F |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6800186602 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440070 | DECATUR COUNTY GENERAL HOSPITAL |
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 58 S Bells St, Alamo, TN 38001-1700 | 7316965401 | CROCKETT MEDICAL CLINIC INC |
| 36 Pemberton Cv, Jackson, TN 38305-5514 | 7312348120 | ULTRA HEALTH LLC |
| Organization Legal Name | ULTRA HEALTH LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Pool | Nurse Practitioner | Ultra Health LLC | 402 W Farthing St, Mayfield, KY 42066-2900 |
| Kathy Gallaway | Nurse Practitioner | Ultra Health LLC | 107 Boyles Dr, Russellville, KY 42276-8838 |
| Amanda Nicole Dame | Nurse Practitioner | Ultra Health LLC | 950 Highpoint Dr, Hopkinsville, KY 42240-2570 |
| Deena D Carrico | Nurse Practitioner | Ultra Health LLC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Lora A Russell | Nurse Practitioner | Ultra Health LLC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Molly N Ledbetter | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Jessica Desir | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Melissa L Bolton | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Sheila Carlton | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Lauren Amber Wilson | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Street Address |
36 PEMBERTON CV |
| City | JACKSON |
| State | TN |
| Zip | 38305-5514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly N Ledbetter | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Jessica Desir | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Melissa L Bolton | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Sheila Carlton | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Lauren Amber Wilson | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Stephanie L James | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Evelyn Nicole Jackson | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Christina Jackson | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Lesley Howell | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Danna Britt Jerman | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Pickering | Psychologist, Clinical | 367 B N Pkwy, Suite 1, Jackson, TN 38305 | |
| Tammy M Griffis | Nurse Practitioner | Primary Care Clinic of Jackson | 1430 Union University Dr, Suite B, Jackson, TN 38305-0001 |
| Kathy M O'connor-wray | Nurse Practitioner | Primary Care Clinic of Jackson | 1430 Union University Dr, Suite B, Jackson, TN 38305-0001 |
| Rebecca Ann Hamilton | Nurse Practitioner | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Elizabeth S Londino | Family Medicine | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Marion J Scott | Nurse Practitioner | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Timothy W Hayden | Family Medicine | Northside Medical Clinic, P.C. | 31 Hughes Dr, Jackson, TN 38305-1505 |
| Diane H Wright | Clinical Social Worker | Starting Place LLC | 180 W University Pkwy H, Jackson, TN 38305-1612 |
| Richard Murphy Spring | Psychologist, Clinical | 156 W University Pkwy, Suite B, Jackson, TN 38305-1617 | |
| Steven Anthony Sopcak | Chiropractic | 156 W University Pkwy, Suite A, Jackson, TN 38305-1617 | |
| Find all physicians in zip 38305 | |||
| City | JACKSON |
| Zip Code | 38305 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JACKSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Loren S Carroll.
| 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.