Renee Bailey Quillin (NPI# 1194988436, PAC ID# 1456516764) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1194988436 |
| PAC ID by PECOS | 1456516764 |
| Professional Enrollment ID | I20151222001806 |
| Full Name | Renee Bailey Quillin |
| Organization Legal Name | COVENANT MEDICAL GROUP INC |
| Address |
205 Corporate Pl Alcoa TN 37701-1940 |
| Phone Number | 8659811223 |
| Gender | F |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 2860305463 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440125 | FORT SANDERS REGIONAL MEDICAL CENTER |
| 440011 | BLOUNT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 205 Corporate Pl, Alcoa, TN 37701-1940 | 8659811223 | COVENANT MEDICAL GROUP INC |
| 1901 W Clinch Ave, Suite 303, Knoxville, TN 37916-2307 | 8655411375 | COVENANT MEDICAL GROUP INC |
| 2001 Laurel Ave, Suite 502, Knoxville, TN 37916-1876 | 8655226005 | COVENANT MEDICAL GROUP INC |
| 111 Clyde St, Loudon, TN 37774-1600 | 8654581554 | COVENANT MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | COVENANT MEDICAL GROUP INC |
| Physicians | 229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob E Gingerich | General Surgery | Covenant Medical Group Inc | 703 Mcfarland St, Morristown, TN 37814-3977 |
| Kelly E Bewsey | Urology | Covenant Medical Group Inc | 701 Mcfarland St, Morristown, TN 37814-3977 |
| Tyler Gilbert Gunderson | Orthopedic Surgery | Covenant Medical Group Inc | 118 Brown Ave, Suite 103, Crossville, TN 38555-7740 |
| Daniel I. Cordas | Orthopedic Surgery | Covenant Medical Group Inc | 629 Middlecreek Rd, Sevierville, TN 37862-5014 |
| Brijal P Patel | Internal Medicine | Covenant Medical Group Inc | 103 Bennett Rd, Oliver Springs, TN 37840-5008 |
| Brittany Hill Slatton | Nurse Practitioner | Covenant Medical Group Inc | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1903 |
| April Freeman | Nurse Practitioner | Covenant Medical Group Inc | 110 Industrial Park Lane, Lake City, TN 37769-2300 |
| Troy Wayne Stovall | Family Medicine | Covenant Medical Group Inc | 423 Medical Park Dr, Suite 100, Lenoir City, TN 37772-5641 |
| Joseph C Petit | Cardiovascular Disease (cardiology) | Covenant Medical Group Inc | 576 Ft Loudon Medical Ctr, Suite 200, Lenoir City, TN 37772 |
| Jadeleize Gormley | Nurse Practitioner | Covenant Medical Group Inc | 9320 Park W Blvd, Knoxville, TN 37923-4301 |
| Street Address |
205 CORPORATE PL |
| City | ALCOA |
| State | TN |
| Zip | 37701-1940 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward B Tieng Jr. | Urology | Covenant Medical Group Inc | 205 Corporate Pl, Alcoa, TN 37701-1940 |
| Jeff E Flickinger | Urology | Covenant Medical Group Inc | 205 Corporate Pl, Alcoa, TN 37701-1940 |
| Carol D Crye | Nurse Practitioner | Covenant Medical Group Inc | 205 Corporate Pl, Alcoa, TN 37701-1940 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melodie Dahl | Nurse Practitioner | Anesthesiology and Pain Management Consultants Inc | 186 Airport Plaza Blvd, Suite E, Alcoa, TN 37701-0024 |
| Olga Mallicoat | Nurse Practitioner | Anesthesiology and Pain Management Consultants Inc | 186 Airport Plaza Blvd, Suite E, Alcoa, TN 37701-0024 |
| Deena L White | Physical Therapy | Mcm Rehabilitation LLC | 721 Louisville Rd, Alcoa, TN 37701-1833 |
| Khaled O Abumayaleh | Optometry | 1030 Hunters Xing Dr, Alcoa, TN 37701-1849 | |
| Brent A Webb | Family Practice | Afc Physicians of Tennessee PC | 1015 Hunters Xing, Alcoa, TN 37701-1850 |
| John T Gay | Dermatology | Blount Memorial Physician Group Inc | 232 Associates Blvd, Alcoa, TN 37701-1943 |
| Lauren E Cline | Internal Medicine | Blount Memorial Physician Group Inc | 230 Associates Blvd, Alcoa, TN 37701-1943 |
| Robert P Unkefer | Dermatology | Knoxville Dermatology Group PC | 133 Associates Blvd, Alcoa, TN 37701-1944 |
| Laurie Elizabeth Womac | Physical Therapy | Agilitas Usa Inc | 1107 N Hall Rd, Suite 200, Alcoa, TN 37701-1946 |
| Kelsey Alexis Moyers | Physical Therapy | Agilitas Usa Inc | 1107 N Hall Rd, Suite 200, Alcoa, TN 37701-1946 |
| Find all physicians in zip 37701 | |||
| City | ALCOA |
| Zip Code | 37701 |
| Specialty | UROLOGY |
| City + Specialty | ALCOA + UROLOGY |
Please comment or provide details below to improve the information on Renee Bailey Quillin.
| 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.