Stephanie Little (NPI# 1023427002, PAC ID# 1052634359) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1023427002 |
PAC ID by PECOS | 1052634359 |
Professional Enrollment ID | I20141217001471 |
Full Name | Stephanie Little |
Organization Legal Name | MEDINA FAMILY MEDICAL CLINIC, PC |
Address |
209 Grace Cove Medina TN 38355-8785 |
Phone Number | 7317830400 |
Gender | F |
Graduation Year | 2014 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 9931161726 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
440060 | MILAN GENERAL HOSPITAL |
440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
209 Grace Cove, Medina, TN 38355-8785 | 7317830400 | MEDINA FAMILY MEDICAL CLINIC, PC |
Organization Legal Name | MEDINA FAMILY MEDICAL CLINIC, PC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joel Brunson | Nurse Practitioner | Medina Family Medical Clinic, PC | 209 Grace Cove, Medina, TN 38355-8785 |
Mechelle T Perry | Nurse Practitioner | Medina Family Medical Clinic, PC | 209 Grace Cove, Medina, TN 38355-8785 |
Darren R Perry | Nurse Practitioner | Medina Family Medical Clinic, PC | 209 Grace Cove, Medina, TN 38355-8785 |
Street Address |
209 GRACE COVE |
City | MEDINA |
State | TN |
Zip | 38355-8785 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joel Brunson | Nurse Practitioner | Medina Family Medical Clinic, PC | 209 Grace Cove, Medina, TN 38355-8785 |
Mechelle T Perry | Nurse Practitioner | Medina Family Medical Clinic, PC | 209 Grace Cove, Medina, TN 38355-8785 |
Darren R Perry | Nurse Practitioner | Medina Family Medical Clinic, PC | 209 Grace Cove, Medina, TN 38355-8785 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer Ellen Mcfarland | Clinical Social Worker | 315 Short Leaf Dr, Medina, TN 38355-6920 | |
Holly Monroe Wright | Dermatology | 148 Us Hwy 45 E, Medina, TN 38355-8644 | |
Heather Ann Martin | Chiropractic | Medina Family Chiropractic LLC | 611 Hwy 45 Byp S, Medina, TN 38355-9629 |
Angela Hobbs | Chiropractic | Medina Family Chiropractic LLC | 611 Hwy 45 Byp S, Medina, TN 38355-9629 |
Howell Scott Holmes | Physical Therapy | 206 N Main St, Medina, TN 38355-9765 |
City | MEDINA |
Zip Code | 38355 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | MEDINA + PHYSICIAN ASSISTANT |
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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.