Heather R Church (NPI# 1114392313, PAC ID# 1254664352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114392313 |
| PAC ID by PECOS | 1254664352 |
| Professional Enrollment ID | I20190604003111 |
| Full Name | Heather R Church |
| Organization Legal Name | GENESIS FAMILY HEALTHCARE PLLC |
| Address |
2244 Boones Creek Rd Gray TN 37615-4432 |
| Phone Number | 4237534000 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214087519 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440063 | JOHNSON CITY MEDICAL CENTER |
| 440184 | FRANKLIN WOODS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2244 Boones Creek Rd, Gray, TN 37615-4432 | 4237534000 | GENESIS FAMILY HEALTHCARE PLLC |
| Organization Legal Name | GENESIS FAMILY HEALTHCARE PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meg W Ellis | Physician Assistant | Genesis Family Healthcare Pllc | 2244 Boones Creek Rd, Gray, TN 37615-4432 |
| Randall L Belt | Emergency Medicine | Genesis Family Healthcare Pllc | 2244 Boones Creek Rd, Gray, TN 37615-4432 |
| Street Address |
2244 BOONES CREEK RD |
| City | GRAY |
| State | TN |
| Zip | 37615-4432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meg W Ellis | Physician Assistant | Genesis Family Healthcare Pllc | 2244 Boones Creek Rd, Gray, TN 37615-4432 |
| Randall L Belt | Emergency Medicine | Genesis Family Healthcare Pllc | 2244 Boones Creek Rd, Gray, TN 37615-4432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcy K Lau | Qualified Audiologist | Medical Education Assistance Corporation | 156 S Dossett Dr, Johnson City, TN 37615-1702 |
| Marie Johnson | Qualified Speech Language Pathologist | Medical Education Assistance Corporation | 156 S Dossett Dr, Johnson City, TN 37615-1702 |
| Jody E. Musick | Physical Therapy | Achieve Health and Wellness | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2245 |
| Caleb Pearson | Physical Therapy | Achieve Health and Wellness | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2245 |
| Alan Bunger | Physical Therapy | Achieve Health and Wellness | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2245 |
| Jacob A. Wright | Physical Therapy | Achieve Health and Wellness | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2245 |
| Jonathan D Baker | Physical Therapy | Achieve Health and Wellness | 406 Roy Martin Rd, Suite 9, Gray, TN 37615-2245 |
| Michael A Wolf | Optometry | 122 Old Gray Station Rd, Suite 1, Gray, TN 37615-3434 | |
| Rebekah J Cote | Family Medicine | Gray Family Clinic Plc | 132 Old Gray Station Rd, Gray, TN 37615-3434 |
| Talisha Ettina Leeann Troutt | Nurse Practitioner | Gray Family Clinic Plc | 132 Old Gray Station Rd, Gray, TN 37615-3434 |
| Find all physicians in zip 37615 | |||
| City | GRAY |
| Zip Code | 37615 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GRAY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Heather R Church.
| 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.